Claims Specialist 2

Industry

Insurance

Advert ID

USA_588711

Location

Columbia - Richland County

Job Type

Contract

Hours

Full-Time

Salary Range

USD12-14/hr

No. of Openings

1

Branch Information

Columbia, SC - (USA) 1410 Colonial Life Blvd Suite 270 SC Columbia , SC 29210

ContactNumber

803-731-5469

Job Description

Claims Specialist 2







Summary: The main function of the claims specialist is to analyzing claim denials, working with payers to resolve denials, tracking all denials by payee 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. Education/Experience: Associates 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.



Required 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.



Additional On-boarding: Supplier Flow Down Documents



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