Job Description

Medical Insurance Claims Specialist

Job Type - Temporary
Pay Rate - $15.50 - $17.50 / Hourly

Description

We are offering a short term contract employment opportunity for a Medical Insurance Claims Specialist in Easthampton, Massachusetts, United States. This role involves managing insurance claims within the medical industry and ensuring precise and efficient billing functions. The individual will work in a team-oriented workplace, focused on providing quality customer service and maintaining meticulous records.

Responsibilities:

Oversee billing functions and financial verification processes
Deliver detail-oriented and timely customer service
Uphold all organizational and program policies and procedures
Administer all necessary administrative paperwork as part of the Client Intake Packet via our Electronic Medical Record (EMR) system
Ensure that intake paperwork adheres to quality assurance standards
Respond promptly to all intake communications, including calls, voicemails, website inquiries, and emails
Inform the client about service availabilities, rights, and responsibilities
Manage the assignment, documentation, and entry of client ID into all relevant systems
Collaborate with the Clinic Administrator as needed for additional resources or support
Perform insurance eligibility checks and input clinical authorizations as required
Schedule clients on the clinicians' calendars and participate in staff meetings and utilization reviews
Retrieve previous medical/psychiatric records prior to the client's initial visit
Liaise with clinical staff as needed
Familiarity with EMR (we use Credible) and insurance companies to verify eligibility is required.

Requirements
Proficiency in Billing Functions is required, including the ability to handle invoices, payments, and financial records.
Experience in Claim Administration is necessary, to ensure efficient and accurate processing and tracking of claims.
Knowledge of Insurance Claims is essential, particularly in understanding, processing, and managing different types of insurance claims.
Familiarity with Insurance Eligibility is expected, to determine and verify the eligibility of clients for insurance coverage.
Ability to perform Insurance Follow-up duties is required, to ensure timely resolution of insurance claims and inquiries.

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