3rd Party Medical Claims Specialist

Proven track record in 3rd party medical claims for at least 6 months. Strong command of the English language, both written and spoken. Based in Montego Bay, St. James.

3rd Party Medical Claims Specialist

About the Role:

We are seeking a dedicated and results-driven Medical Claims Specialist to join our team. In this role, the Claims Specialist works on behalf of behavioral Health facilities obtaining revenue for services billed. 

Key Responsibilities:

• Verifies claim statuses and keeps a detailed record of claims issues
• Follows up on Behavioral Health claims by calling the insurance carriers and utilizing their web portals.
• Identifies, documents and communicates trends in rejections, denials, underpayments.
• Verifies benefits and/or eligibility information.
• Submission of Medical Records to Insurance Companies when required.
• Communicating with client via emails

Qualifications:

• Knowledgeable in medical terminologies, diagnosis codes, denial codes, ICD-10 codes etc.
• Familiarity with UB-04 and HCFA 1500 Forms
• Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
• Collections experience (3rd party) or billing experience.
• Must have experience in medical collections.
• Strong sales (outbound calling) experience is preferred.
• EZ Score of 40 or higher.
• Updated and detailed resume showcasing relevant experience.
• Ability to work independently and meet performance goals.
• Knowledge of medical billing and insurance processes is a plus.

If you have billing and 3rd party collections experience we encourage you to apply and ENJOY THE WEEKENDS OFF!