71 results for Claims Processor Healthcare

Medical Claims Representative We are offering an employment opportunity for a Medical Claims Representative in the Financial Services industry, located in Bakersfield, California. The role involves processing and managing medical claims with a strong focus on customer service. Responsibilities: • Operate computer systems to input claims data information accurately.• Adhere to the established quality and production standards in claims processing.• Handle inbound calls from healthcare providers and health plans, providing exceptional customer service.• Adjudicate physician claims in a precise and timely manner.• Ensure compliance with accuracy standards for claims, pends, and tasks.• Conduct timely follow-ups on inquiries received and log all incoming calls and emails correctly.• Effectively use software such as Allscripts, Cerner Technologies, EHR SYSTEM, Epic Clinical, Epic Software for claims administration.• Apply knowledge of medical claims, ICD, CPT Codes, ICD Codes, Medical Insurance, and Medicare in daily tasks.• Participate in other duties as required, maintaining the integrity of the overall claim administration process.• Understand and implement billing functions, benefit functions, and collection processes as part of the role.

Medical Claims Representative We are looking for a competent Medical Claims Representative to join our team in Los Angeles, California. The Medical Claims Representative will be primarily responsible for monitoring, investigating and analyzing relevant agreements, as well as handling claims payments and maintaining effective communication with various stakeholders. Responsibilities: • Handle the filing and pursuit of claims payments meticulously and efficiently.• Answering inquiries regarding EOBs as well as any other issues pertaining to medical claims• Monitor and analyze healthcare industry trends and developments, and understand their implications on claims.• Investigate potential violations of collective bargaining agreements and take necessary action.• Maintain timely and effective communication with members, agents, attorneys, and company representatives.• Manage workload independently, ensuring all tasks are completed accurately and on time.• Work closely with the legal department to provide information/analysis of associated claims.• Research and analyze various agreements, including member contracts, assumption agreements and distribution agreements.• Handle appeals, benefit functions, billing functions, claim administration, and collection processes effectively.• Maintain a strong focus on customer service, ensuring all queries and issues are resolved promptly and professionally.

Bookkeeper We are offering a long-term contract employment opportunity for a bookkeeper in the healthcare industry, based in Richlandtown, Pennsylvania. This role involves a range of duties related to customer application processing, maintaining customer records, and handling customer inquiries, with a particular focus on Medicare claims and billing. Responsibilities:• Accumulate and input ancillary charges for residents, such as laboratory and pharmacy expenses• Submit claims via various methods including clearinghouse, direct data entry, and paper• Act as the primary submitter of Medicare claims and a secondary submitter for other claim types• Keep a close eye on claims payment amounts to ensure accuracy• Handle claim rejections at both the clearinghouse and payer level, submitting adjustments as necessary• Draft and send appeals to insurance companies when required• Accept and record cash receipts following the cash posting process• Monitor accounts receivables aging list and follow up with payers in line with the Collections Policy• Refer claims follow up to collection agency where appropriate• Document all claims research and activity in the claims billing software• Verify insurance benefits as they relate to claims processing• Respond promptly to regulatory requests, ensuring compliance with payer timeframes and regulations• Report necessary information to the immediate supervisor as requested or according to a set schedule• Respond to inquiries related to the specific area or requests from residents and staff within given time frames• Complete annual compliance and HIPAA training and exhibit appropriate behavior as set. For immediate consideration please apply directly to job posting or call 610-882-1600

Medical Claims Representative We are offering a contract to permanent employment opportunity for an Insurance Follow-Up Specialist in FORT WAYNE, Indiana. This role is in the healthcare industry and will involve follow-ups on medical claims. The workplace environment is business casual and requires a high level of interaction with doctor offices. Responsibilities: • Follow-up on insurance claims and patient claims payments. • Provide customer service in relation to medical billing and insurance follow-ups. • Utilize skills in Medical Claims, Medical Billing, and Medical Insurance Billing for efficient execution of tasks. • Manage Insurance Denials and Payer Denials, and handle Medical Appeals. • Leverage expertise in Insurance Follow-up, Claim Denials, Denial Management, and Claim Adjudication. • Interact with doctor offices to resolve any discrepancies or issues related to medical claims.

Medical Billing Specialist We are in the process of recruiting a Medical Billing Specialist to join our team in Richmond, Virginia. The role involves working within the healthcare industry, handling customer accounts, applications, and inquiries. This position offers a contract to permanent employment opportunity and will require the individual to be detail-oriented and highly organized. Responsibilities: • Efficiently and accurately process customer credit applications within the medical billing environment • Ensure the maintenance of precise customer credit records • Handle all outstanding patient account balances in accordance with practice protocol • Supply pertinent eligibility information related to billing, coding, and insurance carriers • Address returned claims, correspondence, denials, account reconciliations, and rebills promptly to garner maximum reimbursement • Submit primary and secondary insurance claims electronically on a daily basis to ensure timely reimbursement • Review, correct, and complete claim forms as required • Assign appropriate insurance carriers when rebilling rejected or denied claims • Appeal claims and compose clear, concise appeal letters as necessary • Resolve carrier-related payment issues, including denials and partial payments • Conduct research into insurance company issues, such as network problems and workers compensation claims • Pursue suspended claims and aged, unresolved claims • Communicate with third-party representatives to finalize claims processing • Report weekly productivity results.

Billing Coordinator We are offering a short term contract employment opportunity for a Billing Coordinator in the Healthcare industry based in Milwaukee, Wisconsin. This role involves the critical function of handling various aspects of customer billing, including processing insurance payments and maintaining accurate records. Responsibilities:• Accurately and efficiently process customer insurance payments• Maintain up-to-date and accurate records of customer credit• Take responsibility for posting and balancing insurance remittances across all centers• Prepare deposits on a rotational basis• Execute appropriate contractual adjustments, reversals of adjustments, and transfers to other insurance or self-payment as required• Archive payment batches effectively• Handle and balance recoupment from insurance companies• Provide excellent customer service in discussing patient account information with patients and insurance companies over the phone.

Medicaid Healthcare Customer Service Representative We are seeking a Customer Service Representative Senior to join our team in the Healthcare/NHS industry!. This role offers a long-term contract employment opportunity, where you will be responsible for processing customer inquiries and maintaining precise records. Hiring in Central, Mountain and Pacific time zones only. Medicaid experience is required. Responsibilities:• Efficiently handle and respond to 50-70 inbound calls every day • Tackle inquiries from both members and providers with utmost professionalism • Ensure prompt and accurate disposition of claims • Keep track and provide updates on authorization status • Master and adhere to internal workflow processes within the department • Display empathy and compassion while interacting with customers • Maintain punctuality and reliability for smooth operations • Cater to customers by providing service in different languages such as Spanish, Vietnamese, Farsi, Korean, Chinese whenever necessary • Utilize your knowledge in healthcare and call center environment to deliver quality service.

Claims Processor We are offering a long term contract employment opportunity for a Customer Service Representative in Valencia, California. As a part of our team, your main role will be to handle customer inquiries, maintain accurate data, and ensure efficient processing of customer applications. In this role, you will also monitor customer accounts and take necessary actions. Responsibilities: • Efficiently and accurately process customer credit applications • Maintain detailed and organized records of all customer interactions and transactions • Handle customer inquiries and resolve issues related to customer accounts • Collaborate with team members to ensure seamless service delivery • Communicate effectively with customers and colleagues to gather necessary information and provide updates • Take on additional tasks and projects as required to support the team and clients • Use Microsoft Office Suite and other relevant software for data entry and other tasks • Coordinate with team members to schedule appointments and manage customer accounts • Handle both inbound and outbound calls in a detail oriented and effective manner • Use email correspondence as a means of communication with customers and colleagues, ensuring all information is conveyed accurately and promptly.

Hospital Medical Insurance Collector Join our dynamic healthcare team where your skills will make a difference! We are seeking an experienced Hospital Medical Insurance Collector to support patients and ensure accurate handling of claims. The Hospital prides ourselves on offering exceptional benefits and fostering an environment for career growth and advancement.Position Summary:The Hospital Medical Insurance Collector will oversee the collection and reconciliation of hospital insurance claims, specializing in UB-04 forms. This role demands strong communication skills, knowledge of claims processing, and a commitment to maintaining the highest standards of patient service.Key Responsibilities:<ul><li>Review, analyze, and resolve hospital insurance claims using UB-04 forms to ensure timely and accurate payment processing.</li><li>Contact insurance carriers and patients to collect outstanding balances and resolve billing discrepancies.</li><li>Maintain detailed and accurate payment and collection records in compliance with hospital policies and procedures.</li><li>Communicate effectively with patients, insurance providers, and internal teams to address claims questions and concerns.</li><li>Collaborate with the billing department to ensure all claims are optimized and processed promptly.</li><li>Stay updated on changes in insurance regulations, procedures, and hospital billing standards.</li></ul>

Claims Representative We are in search of a Claims Representative to join our team in INDIANAPOLIS, Indiana. In this role, you'll be tasked with a variety of responsibilities, all revolving around the processing and management of claims. This role is pivotal within our organization, as it entails dealing with multiple programs simultaneously and the ability to adapt and apply feedback in a dynamic work environment. We are offering a contract to permanent employment opportunity. Responsibilities: • Manage and process customer claims in a timely and accurate manner • Conduct thorough audits on all claims to ensure accuracy and compliance • Utilize multiple software programs to handle and track claims • Implement feedback received from supervisors and peers to improve work efficiency • Maintain a flexible mindset to adapt to changing work environments and schedules • Handle calculations related to claims processing and payout • Keep track and update the status of claims regularly • Ensure high attendance and punctuality to maintain workflow efficiency • Use emotional intelligence to handle sensitive claims and customer interactions • Maintain a comprehensive database of claims and their respective statuses.

Billing Clerk We are inviting applications for the role of a Billing Clerk in our non-profit organization, based in Gardena, California. This role is an exciting opportunity for those with a keen interest in managing financial transactions. As a Billing Clerk, you will be expected to manage customer accounts, process credit applications, and ensure the accuracy of customer records. This position offers a short-term contract employment opportunity. Key Responsibilities:<ul><li>Manage and process insurance claims for mental health services.</li><li>Ensure timely and accurate billing submissions using Exym software (must-have requirement).</li><li>Review and follow up on claim status, resolving unpaid or rejected claims.</li><li>Coordinate with insurance providers to ensure proper reimbursement.</li><li>Communicate with clients, vendors, and healthcare professionals regarding billing issues.</li><li>Maintain accurate records of all billing transactions and claims.</li><li>Assist with the preparation of monthly financial reports and other required documentation.</li></ul>

Medical Claims Representative We are on the lookout for a dedicated Medical Claims Representative based in Rancho Cordova, California. As a Medical Claims Representative, your primary role will be to review and process claims from out-of-group providers, ensuring compliance with company policies, health plan contracts, and other relevant regulations. This opportunity offers a long-term contract employment in the healthcare industry. Responsibilities: • Review and process claims from Out of Group providers, adhering to written criteria, policies, and procedures. • Determine the appropriateness of claims for payment, considering factors such as eligibility, benefits, authorizations, coding, and contracted payment terms. • Stay up-to-date with changes in contracts annually and apply the correct terms to the claims. • If a claim is not appropriate for payment, ensure that the denial is correctly executed in the system for the letter to print accurately. • Consistently meet internal, external, and governmental timeliness standards. • Maintain the discretion to pay or deny medical services using the department's policy guidelines. • Handle sensitive and confidential information with discretion and professionalism. • Refer claims and documentation that do not meet our department policy guidelines to the UM department as needed. • Maintain communication with Eligibility, Member Services, UM, providers, the Health Plans, and any applicable staff as required. • Ensure the achievement of production and quality standards. • Work independently on assigned tasks and activities, based on established policies and procedures.

Medical Billing and Collections Specialist Are you experienced in medical billing and collections? Robert Half is working with leading healthcare organizations to find talented professionals who excel in billing processes and accounts receivable management. Take the opportunity to join a dynamic and fast-growing team today!Key Responsibilities:<ul><li>Process and submit accurate claims to insurance carriers and government payers.</li><li>Conduct follow-up on outstanding claims and patient accounts to ensure timely payments.</li><li>Research and resolve payment discrepancies and denials.</li><li>Manage patient billing inquiries and provide exceptional service by explaining account details.</li><li>Prepare statements and manage collections activities efficiently while adhering to healthcare compliance guidelines.</li><li>Maintain organized electronic medical records (EMR) to support seamless billing workflows.</li></ul>

Customer Service Representative We are in search of a Customer Service Representative to join our team within the Healthcare/NHS industry, located in Minneapolis, Minnesota. This role provides a unique opportunity to work from home while serving as a vital link between patients and healthcare providers. Your role will entail processing complex and sensitive information, advocating for patients, and ensuring high-quality service delivery. Responsibilities: • Accurately process patient appointments, authorizations, claims, invoices, eligibility benefits, and appeals. • Maintain meticulous records of patient interactions and transactions, documenting details of inquiries, complaints, and comments. • Utilize double monitors for efficient data entry and resource usage while adhering to guidelines. • Support other team members with daily paperwork load to document and resolve patient issues. • Recognize financial, medical, and legal risks based on data collected during customer interactions and follow appropriate procedures. • Exhibit superior communication skills that demonstrate commitment to quality care and concern for both internal and external customers. • Provide services to internal and external customers involving the exchange of complex and sensitive information, acting as a patient advocate. • Utilize company systems to resolve customer needs and assist in the choice of Primary Care Providers (PCP). • Assist Telehealth Nurses as necessary and provide general information about the medical group to new or potential members. • Ensure adherence to company's Telecommuter Policy and meet department standards for attendance and performance metrics.

Medical Claims Representative Great Opportunity to work with a well-known TPA insurance company in Fort Wayne, IN. This is a temporary to permanent position. Position Purpose: This position examines, enters and accurately adjudicates medical, dental, vision, HRA, FLEX, or STD claims based upon coverage, policy and procedural guidelines. May be assigned multiple clients with several lines of coverage.Primary Responsibilities:To perform this job successfully, the individual must be able to perform each essential duty satisfactorily (the requirements listed below are representative of the knowledge, skill and/or ability needed). Reliable, consistent and predictable performance of the following job duties is required:<ol><li>Enters paper claims into a proprietary claim adjudication system.</li><li>Adjudicates both paper and electronic claims with 99% accuracy for payment dollars and claim coding following an extensive on-the-job training class.</li><li>Maintains strict first-in/first-out for claims adjudication.</li><li>Follows office procedures for follow-up on claims needing additional information by reviewing the Holding for Information Report for each assigned client on a monthly basis.</li><li>Adjudicates prescription claims not automatically adjudicated by the claim adjudication system.</li><li>Interprets COB and Medicare worksheets as needed on assigned clients.</li><li>Batches adjudicated claims according to client preference or schedule.</li><li>Reports to clients on a weekly basis the total of all claims processed for that client, requesting the funding or requesting that funding be transferred to Pro-Claim.</li><li>Communicates with brokers, agents and clients regarding high dollar cost claims and SPEC claimants.</li></ol>Critical Required Skills:<ol><li>Must be able to work well independently and in a team atmosphere.</li><li>Ability to maintain a departmental accuracy standard of 99%.</li><li>Detail oriented.</li><li>Ability to manage multiple priorities that change from day-to-day and week-to-week in a fast-paced environment.</li><li>Ability to understand system calculations in order to determine if claims are adjudicating accurately.</li><li>Ability to manually process claims in the claims adjudication system if necessary.</li><li>Must understand complicated benefit designs.</li><li>Ability to self-manage, prioritize and meet specific production deadlines.</li><li>Computer experience, including Word, Excel, and Outlook.</li><li>Accurate 10-key and/or data entry skills.</li></ol>

Medical Biller/Collections Specialist Robert Half has an opportunity for a part time Medical Biller/Collections Specialist with our client in the non-profit industry, located in New Orleans, Louisiana. The role involves handling healthcare billing processes, including the use of accounting software systems and EPIC Hospital Billing for billing and coding processes. This is a short-term contract to hire position. Responsibilities:• Utilize accounting software systems for efficient billing processes• Handle appeals and authorizations related to billing functions• Ensure accurate and efficient processing of healthcare billing, including maintaining patient records• Manage claims submissions for third-party payers, Medicaid, and Medicare• Use EPIC Hospital Billing for billing and coding processes• Ensure adherence to healthcare regulations and policies, including HIPAA• Handle sensitive patient information and billing data with utmost attention to detail• Communicate effectively with patients, insurance representatives, and healthcare providers when required• Collaborate with the healthcare team to provide efficient administrative support to the billing functions

Collections Representative Robert Half is offering a career building opportunity for a Collections Representative in the Healthcare/NHS industry, located in Philadelphia, Pennsylvania. As a Collections Representative, you will work on ensuring the correct and timely reimbursement from third-party payors for services provided. Get your career moving in the right direction and click the apply button today! As a Collections Representative your responsibilities will include:• Manage and resolve accounts in compliance with contracts and agreements, which includes the review, analysis, and identification of possible barriers to correct and timely claim submission and processing.• Maintain communication with insurance companies and third parties via telephone, letter, fax, or email as necessary and document all actions taken to resolve accounts.• Review and manage credit balances, submit requests for refunds in accordance with policies or initiate off-sets/retractions of incorrectly paid services when possible.• Investigate and submit for approval write off allowances and/or adjustments that have reasonable justification in accordance with contracts and policies.• Handle insurance explanations of benefits that require other activities or reconciliation.• Ensure that all claim submissions, appeals, and requested information is provided within the required timeframe to avoid filing issues and processing delays.• Assist with special projects, audits, and reconciliation as necessary.• Comply with all internal procedures and policies while maintaining a high level of customer service.• Utilize Microsoft Excel and other analytics tools for data handling and review.• Transfer accounts when necessary and only after confirming updated registration or eligibility.

Patient Account Representative Are you detail-oriented and passionate about healthcare administration? Join our team as a Patient Account Representative! The Patient Account Representative is responsible for ensuring the accurate and timely processing of patient accounts, including billing, collections, and payment applications. If you're looking for an opportunity to gain experience in patient financial services, the Patient Account Representative role may be the perfect fit for you! Responsibilities:<ul><li>Follow up on unpaid accounts in patient accounting systems through payer websites and phone calls.</li><li>Review claim denials, research underpayments, and perform appeals with payers.</li><li>Process bad debt transfers, adjustments, and contractual write-offs as needed.</li><li>Edit and submit electronic and hardcopy claims to government, managed care, and commercial payers.</li><li>Review and resolve electronic claim rejections and payer denials.</li><li>Post payments and adjustments in EPIC and process refunds.</li><li>Enter charges, resolve worklist issues, and complete charge corrections.</li><li>Maintain professional communication with patients, payers, physicians, and staff regarding billing inquiries.</li><li>Meet weekly productivity goals and follow priorities set by the team manager.</li><li>Assist with patient advocacy efforts, including processing charity applications and handling billing complaints.</li></ul>

Insurance Follow-Up Specialist Robert Half is working with a reputable health care organization that is seeking a detail-oriented and motivated Accounts Receivable/Medical Insurance Follow-Up Specialist to join their finance team. This position is a contract-to-hire role in the Danville, Kentucky area. The ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, patients, and internal departments to resolve outstanding accounts. If you do not have that exact experience, but have transferable skills and would like to jumpstart a career in healthcare, please feel free to apply today! Responsibilities:<ol><li>Review and analyze unpaid claims to determine appropriate action for resolution.</li><li>Conduct follow-up with insurance companies to ensure timely payment and resolve any discrepancies.</li><li>Investigate and appeal denied or rejected claims, providing necessary documentation and information as required.</li><li>Work closely with billing and coding staff to ensure accurate and compliant claims submission.</li><li>Verify insurance eligibility and coverage for patients, obtaining pre-authorizations and referrals as needed.</li><li>Monitor accounts receivable aging reports and prioritize collection efforts based on account status and aging.</li><li>Collaborate with patients to resolve outstanding balances, establish payment plans, and provide financial counseling when necessary.</li><li>Maintain accurate documentation of all interactions and correspondence related to accounts receivable and insurance follow-up.</li><li>Stay informed of changes in healthcare regulations and insurance policies to ensure compliance and maximize reimbursement.</li></ol>

Revenue Cycle Manager We are seeking an experienced RCM Manager to oversee and optimize billing, collections, and revenue cycle processes for our healthcare services in Plano, Texas. This role is essential to ensuring patients are billed accurately and accounts are maintained efficiently and will involve leadership, strategic planning and the management of the team to ensure the efficiency of our revenue cycle operations The RCM Manager will work closely with the accounting team, assist in resolving billing issues, and lead the development and training of the billing department staff. Responsibilities: <ul><li>Lead and manage all aspects of the revenue cycle, including billing, coding, assistance with claims processing and collections. Manage the day-to-day operations of the billing department, ensuring compliance with company policies and procedures and revenue cycle best practices</li><li>Ensure compliance with federal, state, and local regulations, including HIPAA, Medicare/Medicaid, and private payer guidelines.</li><li>Analyze and Identify opportunities to optimize billing processes and lead implementation efforts.</li><li>Implement controls to mitigate risks related to coding errors, and billing discrepancies.</li><li>Develop and implement policies, procedures, and workflows to enhance revenue cycle performance. Develop and deliver monthly reports with key billing metrics and performance insights.</li><li>Ensure accurate and timely submission of claims to payers and manage the resolution of claim denials and underpayments.</li><li>Oversee hiring, training, and professional development of billing team members.</li><li>Collaborate with the Executive team to align billing operations with organizational goals.</li><li>Serve as a key liaison between the revenue cycle division and other divisions across the enterprise, such as finance, operations, credentialing and external vendors.</li><li>Ensure effective billing solutions are in place to support a multi-regional and growing client base.</li></ul>

Patient Service Representative Are you passionate about providing exceptional customer service and supporting patients with their healthcare needs? We're looking for dedicated individuals to join our client's team as Remote Patient Service Representatives. In this role, you'll be responsible for assisting patients, managing sensitive information, and ensuring the highest level of customer satisfaction while working from the comfort of your home. With a clear path to permanent placement based on performance and attendance, this is a fantastic opportunity to grow your career in healthcare support. If you're ready to make a difference, apply today! This role is only open to candidates who sit in Pacific (PST), Mountain (MST), and Central (CST) time zones. <ul><li>California and Illinois are excluded</li></ul>Responsibilities:<ul><li>Achieve performance goals in patient satisfaction, accuracy, quality, and attendance Adhere to department standards and daily adherence metrics</li><li>Provide exceptional customer service, demonstrating the client's commitment to quality care and concern for all internal and external customers</li><li>Manage multi-tasking tasks using dual monitors, including data entry and phone etiquette, while maintaining compliance with guidelines</li><li>Handle sensitive patient information and advocate for patient needs</li><li>Support other team members with paperwork and patient issue resolution</li><li>Identify financial, medical, and legal risks during customer interactions and follow proper procedures</li><li>Use internal systems to manage customer needs such as appointments, authorizations, claims, invoices, eligibility benefits, and appeals</li><li>Accurately document and translate oral information in accordance with company guidelines</li><li>Assist patients in selecting a PCP and provide general information about the medical group</li><li>Coordinate with clinicians and Telehealth Nurses, including arranging transportation, DME, and home health services</li><li>Update and process PCP changes in the system</li></ul>

Sr. Data Entry Clerk We are offering a long term contract employment opportunity for a Sr. Data Entry Clerk in WOODMERE, Ohio. The role falls within the industry, and the successful candidate will be pivotal in maintaining and enhancing customer credit records, processing applications, and addressing customer queries efficiently. Responsibilities: • Undertaking research on account profile data through different platforms. • Accurately inputting the researched data into spreadsheets for CRM entry. • Executing ad hoc queries of data when required. • Establishing and nurturing positive relationships with potential internal and external clients, partners and stakeholders. • Assisting in additional projects and tasks as required by the team. • Ensuring the smooth running of the Salesforce platform and other software programs. • Employing analytical skills to understand, explain, and improve data entry processes. • Utilizing Microsoft Excel and Microsoft Office for data entry and analysis. • Administering claim processing and check processing tasks using Epic Software and ERP Solutions. • Continually updating and maintaining accurate customer credit records.

Medical Billing Specialist Robert Half is partnering with a Mendota Heights, Minnesota based client in search of a Medical Billing Specialist. In this role, you will play an integral part of the medical billing team, responsible for the entire medical billing process from insurance verification, claims submission, billing and denials. This role has the opportunity to grow into a permanent opportunity with the client as they grow their team over the next several months. If you have 2+ years of prior medical billing experience, this could be a fantastic opportunity for you! Responsibilities:• Accurately process patient charges based on treatment records and ensure compliance with relevant laws and medical coding procedures• Efficiently handle insurance claims and patient payments• Utilize all of the major clearinghouses for claims submission processing• Establish patient payment plans and oversee collection accounts• Diligently monitor and resolve any discrepancies in billing or payments• Efficiently manage any denied claims, determining the cause and resubmitting in a timely manner• Ensure all patient records are comprehensive and accurate• Handle data entry tasks and promote the use of paperless billing methods whenever possible

Property Damage Claims Specialist We are seeking a Property Damage Claims Specialist to join our team in Allentown, Pennsylvania. In this role, you will handle customer property damage claims related to our electric service operations. You will oversee the claim from initial receipt to final determination and settlement, ensuring all actions comply with state regulations and company policy. This role offers a long term contract employment opportunity and operates in a hybrid mode, with three days on-site and two days working from home. Responsibilities: • Handle customer property damage claims resulting from our service operations • Oversee the entire claims process, from receipt to final determination and settlement • Ensure all actions comply with state regulations and our company's policy • Maintain accurate and timely records of all claims • Provide quality customer service and handle escalated calls when necessary • Maintain confidentiality regarding claims decisions and rationale • Analyze claims to ensure appropriate losses are paid for each event • Assist in determining liability for damage claims • Maintain tracking records of all accepted and denied claims • Handle other duties and projects as assigned.

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