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Medical Claims / Billing Representative
Job Description
Medical Claims Processor
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
Erik Heller, CPC, CTS
Senior Vice President & COO
Erik J. Heller has over 20 years of experience in the Recruiting and Staffing industry and has been with J. Morrissey since 1994 holding various roles with increasing responsibility. He is nationally recognized as a Certified Personnel Consultant and Certified Temporary Specialist.
As the Chief Operating Officer and Senior Vice President, Erik is responsible for the operations of all J. Morrissey offices as well as running a successful Healthcare Practice. He has experience placing Healthcare professionals into a variety of environments including: hospitals, managed care organizations, physician practices, management service organizations, home care agencies, and long term care facilities. In addition, Erik has a comprehensive understanding of Healthcare Reimbursement, the Revenue Cycle, Case Management and Managed Care.
Erik is a founding member and Chairman of the American Staffing Association’s Connecticut Regional Council, formerly known as the Connecticut Staffing Association, and is a Past President of the Connecticut Association of Personnel Services. He served on the Board of Directors and Executive Committee from 1999 to 2012 holding various roles such as Treasurer, 1st and 2nd Vice President Chairs. Other association’s Erik has involvement in: the National Association of Personnel Services, American Staffing Association’s Healthcare Section, Quinnipiac University Alumni Association, the Connecticut Medical Group Management Association, the Connecticut Case Management Society, and is a former Board member for the SummerWind Performing Arts Center.
Erik attended Quinnipiac College where he received a Bachelor of Science Degree in Business Management with a concentration in Human Resources.