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Job Location: SPRINGDALE, AR
Job Type: Full-time
Department:
Business Office
Facility:
Northwest Health System Springdale
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Medical Claim Specialist, Cardiology, FT, Days-1308559
Description
Summary:
Performs follow-up on open insurance items. Monitors and researches claims rejected by the claims clearing-house system to determine the cause of the rejection and if appropriate, re-submit claims for payment.
Essential Duties and Responsibilities: Include the following. Other duties may be assigned.
- Acts as the liaison between the Cardiology Claims team and other internal departments
- Follows up on daily rejections of primary and secondary claims in the electronic claims clearing-house system
- Initiates calls to clinics
- Maintains daily rejections log and safety network report
- Escalates rejections that can not be resolved to Claims Lead
- Reports formatting and other issues to Claims Lead
Qualifications
Education and/or Experience Preferred:
High school diploma or general education degree (GED); 1 year experience with insurance billing, account follow-up procedures and electronic claims processing including experience researching and resolving claims rejected by the claims clearing-house system; or equivalent combination of education and experience.
Language Skills:
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to physicians, practice managers, clinic staff, and other employees of the organization. Ability to effectively communicate with insurance carrier staff and vendor staff.
Reasoning Ability:
Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Computer Skills:
To perform this job successfully, an individual must have knowledge of general computer applications and practice management systems.
Job Business Office
Primary LocationAR-Springdale (Bentonville Region)
Organization Northwest Health System Springdale
Working Location Springdale Cardiology
Shift Day Shift
Forecasted paid hours per shift 8
Forecasted hours per pay week 40
Employee Status Full-time
How to Apply:
Click Here to Apply
Northwest Health System is an equal opportunity employer.
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