Payer Operations Specialist
November 8
Description
• Communicate with patients daily to clarify insurance coverage and answer billing related questions • Work with our billing company to complete tasks on claims that fail validation • Work with Excel to manage reporting on claims and claims operations • Work within our EMR and homegrown practice management system to correct patient data found to be inaccurate during the claim routing or adjudication process • Assist with insurance verification/ eligibility determination questions • Maintain updates in our billing system(s) • Other duties as assigned
Requirements
• A year of experience in an administrative medical setting working with patients • Strong interpersonal skills • Attention to detail • Highly organized • Knowledge of Medicare and Medicare Advantage Plans
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