Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Remote Claims Associate Representative, working in Insurance industry in Dallas, Texas, United States.
- Research/rectify third party denials/edits, requests for information and other related correspondence
- Process a variety of Third Party Administrator (TPA) payments
- Learn different claim platforms within eviCore and also client claims platforms when necessary
- Analyze and clears payment variances
- Verify patients' eligibility, coverage, and benefits and identify authorization requirements relates to working aged AR.
- Follow-up on outstanding account balances at 30-days from the date of service in accordance with client and organizational protocol with an emphasis on maximizing client satisfaction and provider profitability.
- Process timely premium payments to providers
- Research and answer accounts receivable discrepancies
- Monitor payer responses, and other software as necessary to ensure prompt payment
Our Client Our client provides outsourcing, staffing, consulting and workforce solutions. Hiring for Engineering, Finance and Accounting, Healthcare, Human Resources, IT, Legal, Life Sciences, Manufacturing and Logistics, Sales and Marketing and Administrative roles. For 60 years. Via 5,000 offices in 39 countries. Matching smart people with great jobs. Putting to work nearly 700,000 employees worldwide. Helping people like you achieve your potential. Using innovative technologies and passion for people to provide you the best experience possible. Every single day. Let this be your day. Put their expertise to work for you. You deserve it!
Experience Required for Your Success - High school Diploma or GED
- 2 year minimum experience in medical billing and/or claims accounts receivable
- 2-4 years claims handling and accounts receivable experience
- Candidate must have an in-depth knowledge accounts receivable and related functions
- Proficient in Microsoft Office Products (Word, Outlook, Excel) candidates MUST be able to perform basic and intermediate level computer functions.
- Can work both independently and collaboratively with a team
- Highly oriented to detail, planning and organizing skills
- Ability to work in a fast paced environment
- Time management and documentation skills
- Ability to perform basic mathematics calculations
- Exceptional reconciliation, analytic skills, and the ability to interpret EOBs/EOPs
- A high level of accuracy and attention to detail and have a dedicated approach to work
What Do You Think? Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?