Patient Claims Representative Job at Roessel Joy
A cancer research center in the Greater Boston area is looking to hire a Patient Claims Representative to come fill in for a maturnity leave. This would be a 5 month contract, and the main responsibilities of the Billing Rep will be working with Aetna insurance to help figure out discrepancies with bills. Commercial billing experience is acceptable, but Aetna experience is highly preferrred. This role is fully remote.
Responsibilites:
- Review and process correspondence from patients and insurance carriers.
- Insurance Follow-up with primary, secondary, and tertiary claims.
- Denial Management to include payer denials and denial solutions.
- Submitting appeals to carriers for reasons such as medical necessity and bundling
- Credit Balance Management to include reviewing and resolving payment application errors.
- Reviews and maintains unbilled charge reports, denial reports, and claim allocation reports.
- Annotates adjustments/updates to patient accounts.
- Performs other related duties as required.
Must Haves:
- Commercial insurance experience, Aetna highly preferred
- Knowledge of Epic is a plus
- Education: High School Diploma or equivalent
- Experience: Minimum of 3 years experience in medical billing procedures including registration, charge entry, payment posting, and claim preparation.
- Prior experience with reviewing, interpreting, and responding to denials
Job Types: Full-time, Contract
Pay: $30.00 - $40.00 per hour
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Aetna: 1 year (Required)
- insurance follow-up: 3 years (Required)
Work Location: One location
Please Note :
apexdining.ca is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, apexdining.ca provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.