Claims Associate/Sr. Claims Associate - RCM Process

Job Description

Description:

Job Summary and primary duties: Responsible for, but not limited to, the following:

Submit electronic claims for facilities and insurance carriers

Work scrubbing/editing reports from billing systems and clearinghouses

Work with other departments regarding resubmission of claims

Work and track acceptance and rejections reports

Research and fix system problems causing delay in claims submission Requirements:

Education and Experience:

• High School diploma or equivalent

• Minimum 3 years’ experience in field preferred

• Familiarity with working loops and segments

• Familiarity with the most common payer rejections

• Regular use of clearinghouses

• Experience submitting paper and electronic claims preferred

• Knowledge of commonly used insurance billing concepts

Full-time