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ONSITE

TEMPORARY

FULL_TIME

CONTRACTOR

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ADAPTED_NOW

UNKNOWN

HOUR

Claims Processor

Utilize a practice EHR system and clearing house to review and submit claims to multiple insurance carriers Review open/unpaid claim balances and take required action. Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.

KBSkills

ACTIVE

Title: Medical Claims Processor - Hybrid Mandatory skills: medical vision claims, coding, billing, cash apply, medical billing, monitoring insurance carrier adjudication, medical claims, insurance carriers Review open, unpaid claim balances, electronic health records, EHR, EHR system, insurance carrier filing, insurance carrier evidence, post claim payments, insurance carrier websites, patient billing statements, post payments, overpayment refunds, repayments Description: GENERAL FUNCTION The Medical Claims Coordinator is responsible for monitoring insurance carrier adjudication of medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple insurance carriers Review open/unpaid claim balances and take required action. MAJOR DUTIES & RESPONSIBILITIES Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house. Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier. Download insurance carrier evidence of benefits (EOBs) to post claim payments and denials in the EHR system. Determine if denied claims can be adjusted and re-submitted to the carrier. Review aging reports to research open balances and resubmit within insurance carrier filing limits. Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status. Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Initiate overpayment refunds to patients and repayments to insurance carriers when required. Write-off open claim balances in the EHR system. Serve as the point of contact for the practice regarding all medical claims. Support the corporate manager in maximizing claim collection rate. BASIC QUALIFICATIONS High school diploma 3+ years of related work experience Experience with medical vision claims and coding Ability to prioritize handling of issues Organization skills and ability to multitask Effective communication skills (verbal, written, listening, presentation) Specific Skills Needed: Top 3-5 mandatory and/or minimum requirements: experience with medical vision claims coding and billing and cash apply experience Top 3-5 desirable attributes/qualifications: Vision billing experience Required levels/ Years of Experience education – discuss whether there is flexibility: 5 years medical billing experience. HS diploma Notes: HYBRID 3x a week Work hours: 8-4:30 pm 1/2 lunch Temp to Perm VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at hr@viva-it.com for any complaints, comments and suggestions. Contact Details : Account co-ordinator: Sekhar Radhakrishnan, Phone No : (847) 892-7502, Email: staffing10@viva-it.com VIVA USA INC. 3601 Algonquin Road, Suite 425 Rolling Meadows, IL 60008 staffing10@viva-it.com | http://www.viva-it.com

Viva USA Inc.

Medical Claims Processor - Hybrid

Adjudication

Billing

Claims Coding

Claims Management

Claims Processing

Communication Skills

Establish Priorities

Health Insurance

High School Diploma

Insurance

Insurance Claims

Medical Billing

Medical Coding

Medical Record System

Multitasking

Organizational Skills

Web Site Monitoring

Writing Skills

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