Y-Axis Jobs Logo
Send us feedback
telephone  +91 7670 800 001
Log in Sign up Try Premium
Medical Insurance Customer Service Representatives at SEQUIUM ASSET SOLUTIONS LLC
St. James, Missouri, United States -
Full Time

Start Date

Immediate

Expiry Date

09 Jul, 26

Salary

0.0

Posted On

10 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Medical terminology, ICD-10 coding, Medical billing, Claims processing, Insurance verification, Denial management, Outbound calling, Problem-solving, Analytical skills, Communication skills, Collections, Data entry

Industry

Financial Services

Description
Description We are seeking a dedicated and results-driven Medical Claims Specialist to join our team. In this role, the Claims Specialist works on behalf of behavioral Health facilities obtaining revenue for services billed. Primary duties may include but not limited to: Verifies claim statuses and keeps a detailed record of claims issues Follows up on Behavioral Health claims by calling the insurance carriers and utilizing their web portals. Identifies, documents and communicates trends in rejections, denials, underpayments. Verifies benefits and/or eligibility information. Submission of Medical Records to Insurance Companies when required. Communicating with client via emails Requirements Knowledgeable in medical terminologies, diagnosis codes, denial codes, ICD-10 codes etc. Familiarity with UB-04 and HCFA 1500 Forms Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Collections experience (1st or 3rd party) or billing experience. Must have experience in medical collections. Strong sales (outbound calling) experience is preferred. Completed 2nd Application. EZ Score of 40 or higher. Updated and detailed resume showcasing relevant experience. Ability to work independently and meet performance goals. Knowledge of medical billing and insurance processes is a plus. If you meet the qualifications and are ready to take the next step in your career, apply today!
Responsibilities
The Claims Specialist is responsible for verifying claim statuses, following up on behavioral health claims with insurance carriers, and managing rejections and denials. They also handle benefit eligibility verification and the submission of medical records to insurance companies.