Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and managed by experienced industry professionals in healthcare. As a leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent.
A fast growing healthcare company is seeking a Claims Representative. The Claims Representative candidate should be able to process basic payments and/or claim denials for Medicaid medical claims. Process remittances and claim rejections. Investigate claims and properly resolve by follow-up and disposition. Process Medicare, supplemental, and other third party denials and rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy. Ensure that the Customer Service department is aware of denials, in order to update patient records and other required files and documentation. Update patient files for insurance information, Medicare status, and other changes as necessary or required. Ensure accurate changes / data entry of patient records, including service issues. Provide pertinent billing/receivables information to accounting department as requested.
At least 1-2 years of experience billing and/or claims & eligibility experience.
Medicare claims experience preferred.
Familiarity with a variety of the medical &/or insurance field's concepts, practices, and procedures.
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