Claims Analyst in Austin, TX at Prestige Staffing

Date Posted: 10/26/2019

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Austin, TX
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    10/26/2019

Job Description

JobID: 23787

Medical Denials Specialist

We are currently looking for a Medical Denials Specialist for a healthcare company in the south Austin area. Successful candidates will have patient accounts experience with denials knowledge. This will be a contract role that will last 3-6 months and have the opportunity to become a permanent role. Pay starting at $18/hr.

Job Description:

  • The position is the research of claims to determine if claims were paid/denied correctly. Claim Liaisons duties included (but not limited to):
    - Generating Claim Reports
    - Critical Thinking 
    - Researching Claim Denials/Payments
    - Reviewing Authorizations, Contracts, Benefits, System Configurations, ect. 
    - Strong Communication skills (internally and externally)
    - Able to explain what happen to Claim(s)
    - Creating Excel Spreadsheets 
  • Provide customer service, such as giving limited instructions on how to proceed with claims or providing referrals to other facilities or contractors.
  • Review claims to determine whether or not claimant is covered under a policy, review policy to determine coverage, and evaluate the extent of a settlement. 

Requirements:

  • 2+ year of processing medical billing or medical denials
  • Strong Excel experience required
  • 2+ years within the healthcare field
  • Call center experience preferred
  • Must have a HS diploma or GED

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