Job Description
Summary Of Position At all times, the claims specialists, should maintain a professional, friendly, and polite temperament and adhere to a code of behavior consistent with the company strategy, goals and values.
As part of the revenue cycle team, the claims specialist’s role is to assist in the smooth and efficient operations of the revenue cycle department. Responsibilities include: submitting claims, claims denial follow-up, posting and managing account payments, assisting in preparing reports as need for management.
Revenue Cycle Claims Specialist Qualifications Minimum: Must be able to sit, stand and walk for long periods of time. Able to read and understand the English language. Able to effectively maintain confidentiality of records and communicate with all levels of personnel. Ability to work independently with minimal supervision. Ability to establish and maintain effective working relationships with providers, management staff, and contacts outside the organization. Must be able to work with multiple changing priorities. Requires excellent organizational, problem solving and critical thinking skills. Must be able to interact with individuals of all cultures and levels of authority. Must be able to function as part of a team. Excellent attention to detail.
Experience: 1 years’ claims processing / billing experience. Medical or dental claims processing experience is preferred
Education: High school diploma or GED
Licensure: None
Certifications: BLS/OSHA/HIPAA
Revenue Cycle Claims Specialist Responsibilities - Ability to self-manage your own time and be self-motivated
- Timely submittal, tracking, and follow-up of medical claims until fully adjudicated
- Reviews and corrects unprocessed claims for resolution
- Analyzes and researches insurance aging for unpaid claims
- Assists in preparing internal reports
- Use various on and offline methods to trace outstanding claims payments
- Perform other assigned tasks and duties necessary to support the billing department
Kintegra Health Core Requirements - Patient First – An approach to care that holds primary, the well-being and desires of the patient
- Build not Blame – Focusing first on finding fault with the process rather than the person
- Integrity and Honesty – Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers
- C ooperation and Flexibility – Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description
- Culturally Sensitive – Always working toward increasing one’s ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one’s own culture.
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