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Randstad Claims Specialist in Queensbury, New York

Claims Specialist

job details:

  • location:Queensbury, NY

  • salary:$16 per hour

  • date posted:Wednesday, March 25, 2020

  • experience:4 Years

  • job type:Contract

  • industry:Health Care and Social Assistance

  • reference:484044

job description

Claims Specialist

job summary:

We are looking for someone with drive, initiative, and passion to be our next Claims Specialist!

Summary :

The main function of the claims specialist is to analyzing claim denials, working with payors to resolve denials, tracking all denials by payor and denial category, trending recurring denials, and recommending process improvement or system edits to eliminate future denials.

Job Responsibilities:

  • Review and analyze claim denials in order to perform the appropriate appeals necessary for reimbursement.

  • Receives denied claims and researches appropriate appeal steps.

  • Collect required documentation, review file documentation, and make sure all items needed are requested.

  • Ensure that all claim documentation is complete, accurate, and complies with company policy.

  • Establish, maintain, and update files, databases, records, and other documents for recurring internal reports. Identifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denials

  • Contact and communicate with clients by telephone, e-mail, or in-person.

Skills:

  • Payment Posting, Claim Follow up, calls to INS companies and reviewing aged claims

  • Basic knowledge in lending and the real estate industry.

  • Excellent written and verbal communication.

  • Strong attention to detail.

  • Ability to handle multiple tasks with frequent interruptions.

  • Knowledge of basic accounting processes and procedures.

  • Basic computer skills including Microsoft Office.

Education:

  • Associate's degree in billing, coding, business, finance or related field preferred. (Equivalent work experience may be substituted for education 2 to 4 years of experience.)

PLEASE NOTE:

Despite what is ongoing in our world today, this client of ours is still actively interviewing and hiring. This position will start out in a remote capacity until our client is comfortable having employees return to the office.

location: Queensbury, New York

job type: Contract

work hours: 8 to 5

education: Associate's degree

experience: 4 Years

responsibilities:

Job Description:

Summary:

The main function of the claims specialist is to analyzing claim denials, working with payors to resolve denials, tracking all denials by payor and denial category, trending recurring denials, and recommending process improvement or system edits to eliminate future denials.

Job Responsibilities:

Review and analyze claim denials in order to perform the appropriate appeals necessary for reimbursement. Receives denied claims and researches appropriate appeal steps. Collect required documentation, review file documentation, and make sure all items needed are requested. Ensure that all claim documentation is complete, accurate, and complies with company policy. Establish, maintain, and update files, databases, records, and other documents for recurring internal reports. Identifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denials Contact and communicate with clients by telephone, e-mail, or in-person.

Skills:

  • Basic knowledge in lending and the real estate industry.

  • Excellent written and verbal communication.

  • Strong attention to detail.

  • Ability to handle multiple tasks with frequent interruptions.

  • Knowledge of basic accounting processes and procedures.

  • Basic computer skills including Microsoft Office.

qualifications:

Education/Experience:

Associate's degree in billing, coding, business, finance or related field required; equivalent work experience may be substituted for education 2 to 4 years of experience required.

This will be strictly payment posting for the first 30 days.

Required skills:

Payment Posting, Claim Follow up, calls to INS companies and reviewing aged claims

skills: Other

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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