Billing, Billing Records, Billing Software, Dental Insurance, Healthcare, Medical Billing, Medical Coding, Medical Record System, Medical Terminology, Medical Treatment, Payment Posting, Payment Processing, Reconciliation, Reimbursement, Secondary School, Vaccination, Vision Plan
Advantia is seeking a Claims Resolution Specialist to join our team! As a Claims Resolution Specialist, you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role demands a solid understanding of medical terminology, coding, and billing procedures. This role will report to the RCM Manager.
Job Responsibilities:
- Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals.
- Initiating EFT (electronic funds transfer) set up with payers & third-party portals.
- Assist in vendor support of daily cash reconciliation duties.
- Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials.
- Clear understanding of reconciling offset/recoupment payer remits.
- Call carriers and third parties to resolve unidentified payments/reconcile items.
- Responsible for maintaining payer portal admin and employee registration.
- Assist the RCM Manager with various projects.
Job Requirements:
- High School/GED Education required
- Previous experience in medical billing or a related field is preferred.
- Proficiency in electronic health records and billing software preferred.
- Athena experience required.
Benefits & Compensation:
- Health, Dental, and Vision Insurance
- Health Savings Account (HSA) and Flexible Savings Account (FSA) Option
- 401k Retirement Plan
- Life and Disability Insurances
- Paid holidays/PTO
- Compensation Range: $18.00-$22.00/hr
- Please note compensation is based on years of experience.
Please note: Advantia Health provides unparalleled healthcare to our customers by employing the most highly qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment.
Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage EOE M/F/D/V.