Search Jobs & Apply

Accounts Receivable Medical Claims Credit Reviewer

Glen Allen, VA 23060

Posted: 11/21/2024 Employment TypeŒ: Contract to Perm Industry: Accounting Job Number: TM7724431120

Job Description

Do you have a strong attention to detail? Have you worked in Medical Billing, specifically in claims, denials, and appeals? Our client, a national medical supply company in Glen Allen, is now hiring Medical Claims Credit Reviewers!  Position: Medical Claims Credit ReviewerLocation: Glen Allen, VA
Compensation: $18-19/HR – Based on experienceSchedule: Monday – Friday, 8:00am – 5:00pm POSITION SUMMARY: Ensures that the company properly reimburses the insurance companies for claims identified as overpayments and assists with identifying trends to determine if a valid credit for refund or a fee schedule variance exists. Communicates effectively with key decision makers within the company. Undertakes all work in accordance with law, regulation, payer requirements, and company requirements and policies. JOB TASKS / FUNCTIONS: 
  • Research and resolves overpayments with claims, including refunding and communicating with the insurance companies or customers. 
  • Identifies discrepancies and effectively works toward their resolution or communicates to other personnel for resolution as appropriate. 
  • Monitors refunds to ensure properly retracted by payers. If not retracted, the associate must investigate with the payer to determine the root cause. 
  • Effectively communicates with revenue management staff, including potential changes to PayerPro, changes in fee schedule, etc… 
  • Performs all other duties as assigned, which may vary at any time with or without notice. 
 MINIMUM QUALIFICATIONS: 
  • Able to complete tasks in specified time frame
  • Demonstrates strong organization skills and proven ability to multi-task and manage time in order to meet frequently changing deadlines in a fast-paced environment
  • Demonstrates superior professional ethic and commitment to working appropriately with and managing highly confidential and sensitive information and personal situations with ability to effectively ensure complete security
  • Demonstrates excellent interpersonal, oral, and written communication skills
  • Demonstrates excellent organizational skills as well as strong attention to detail
  • Demonstrates a flexible helpful attitude and willingness to take on additional responsibility during periods of lighter workload
 PREFERRED QUALIFICATIONS: 
  • High School Diploma and/or GED required
  • Associate’s degree in general studies, accounting, finance or similar course of study
  • Proficiency in Microsoft Office Suite
  • Proficiency in Claims Management systems
  • Experience with insurance billing and/or collections
 PHYSICAL REQUIREMENTS: 
  • Ability to sit for extended periods, typically 6-8 hours a day, while working at a computer station
  • Proficiency in using a keyboard, mouse, and other computer peripherals for data entry and communication purposes
  • Ability to view a computer screen for prolonged periods, with good visual acuity to read small print and accurately enter data
  • Adequate hearing ability, with or without correction, to understand and respond to customer inquiries via telephone or other audio equipment
  • Regular use of the hands, wrists, and fingers to perform repetitive tasks such as typing and using a mouse
 WHY WORK FOR QUALIFIED STAFFING?
  • We offer a fantastic benefits package to all of our employees. This includes healthcare, vacation/holiday pay and 401K! In fact, these are the same benefits that we offer our corporate employees!
  • Applying for one job with Qualified Staffing is like applying for hundreds of jobs all at once!
  • We respond to every job applicant within 24-48 hours.
 INDRic
Apply Online

Send an email reminder to:

Share This Job:

Related Jobs:

About Glen Allen, VA

Ready to take the next step in your career? Explore job opportunities in the vibrant area surrounding Glen Allen, Virginia. Nestled in the heart of Henrico County, just outside of Richmond, Glen Allen offers a perfect blend of urban amenities and natural beauty. From the historic charm of the Lewis Ginter Botanical Garden to the thriving arts scene at the Cultural Arts Center at Glen Allen, this region is brimming with unique cultural experiences. Indulge in delicious southern cuisine, catch a show at the Dominion Energy Center, or enjoy a day outdoors at the beautiful Deep Run Park. Join us in Glen Allen and discover a world of career possibilities waiting for you.