Claims Management Specialist

Job description

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. JOB SUMMARY: Must have the ability to communicate both verbally and in writing. Mainframe computer skills, basic accounting, detailed clerical skills and good customer relation skills are required. Candidate must manage accounts according to third party payer rules and regulations. Candidate must posses an understanding of medical and third party payer terminology. REPORTS TO: JOB SPECIFIC RESPONSIBILITIES: errors - Process claim production queues appropriately - Review claim production reports and claim production edit reports - Understand payer specific requirements for electronic and paper claim submission - Document accurately on visits in IDX to convey the billing issue for correction. - Take corrective action when errors are noted on claims - Review payer confirmation reports to ensure all transmitted claims were received by payers - Review paper claims to ensure that affected claims cannot be submitted electronically - Work hold bills assigned by supervisor - Communicates effectively with supervisor and staff to reduce the numb...