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Bi-Lingual Claim Representative
Job Description
Bilingual Spanish Medical Claims Processor
Located in Glastonbury, CT
J. Morrissey, in partnership with our Client, is seeking a Medical Claims Processor. At this 3rd Party Administrator, you will be working with healthcare claims pertaining to benefits and payments.
Monday through Friday: 11:30am - 8:00pm
Pay Rate: $23.00 to $24.00 Per Hour based on Experience
Job Responsibilities:
Resolve client health premiums and out of pocket medical expenses by reviewing medical documentation and looking at gaps in medical documentation or records that could help with payment guidelines.
A representative list of duties:
- Answer phones and respond to client inquiries related to payments made on their behalf.
- Make outgoing calls to clients, medical providers, and insurance companies resolving any gaps
- Identify, research and resolve client issues.
- Ensure payment processing timeliness and accuracy are met.
- Send follow up letters for approvals and / or denial letters.
Required Skills:
- Experience in the Revenue Cycle: Medical Billing, Medical Collections, Insurance Follow up etc. required.
- Understanding of EOBs, Form 1500 and UB-04’s.
- Solid understanding of payor / insurance methodologies
- Ability to read and identify missing Clinical Documentation, Enrollment; Payment Terms, out of pocket expenses; Benefits Coordination with other insurance coverage.
- Bi - Lingual Spanish
This role is in a very nice office building that is easy to access with Free onsite parking and a cafeteria.
INDH
Meet Your Recruiter
Tara Guglietta
Recruiter, Healthcare Services
Tara Guglietta is a dedicated professional who has called Connecticut home for over a decade. She's a proud wife and a loving mother of three wonderful children. Tara's journey into the world of business and human resources began with a solid educational foundation.
Tara is a proud alumna of SUNY Brockport, where she earned her Bachelor's degree in Business Administration, with a minor in Mathematics. Her passion for business and analytics drove her academic pursuits, setting the stage for a successful career.
Upon graduation, Tara embarked on a fulfilling career in Human Resources and Recruiting, a field she's been committed to ever since. She has a wealth of experience in this domain, honing her skills and expertise with each passing year.
Since 2018, Tara has been an invaluable member of the J. Morrissey team, specializing in Healthcare Services. Her dedication and professionalism have made a significant impact on the company and the clients she serves.
Outside of her professional life, Tara's interests are diverse. She is a Certified Zumba Instructor and shares her passion for dance fitness by teaching two classes a week. Her commitment to staying active and promoting a healthy lifestyle shines through her Zumba instruction.
Interestingly, Tara's educational journey initially took her down a different path. She originally pursued a degree in Meteorology, demonstrating her curiosity about the natural world and the forces that govern it. While her career took a different turn, her love for learning and exploring new horizons remains a defining trait.
Tara Guglietta's story is one of dedication, versatility, and a lifelong commitment to personal and professional growth.