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Remote Claims Associate Representative

Location: Atlanta, GA, United States
Job Type: Full Time
Job Category: Administrative
Job Industry: Healthcare Systems and Services
Salary: The pay we're offering is $19 per hour

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The Opportunity

Description

We're looking for a Remote Claims Associate Representative, working in Healthcare Systems and Services industry in Atlanta, Georgia, United States.

  • Ensure a complete review of outstanding accounts receivable with a strong concentration in revenue cycle management.
  • Research/rectify third party denials/edits, requests for information and other related correspondence.
  • Process a variety of third-party Administrator (TPA) payments.
  • Learn different claim platforms within eviCore and client claims platforms when necessary.
  • Analyze and clear payment variances.
  • Verify patients' eligibility, coverage, and benefits and identify authorization requirements relates to working aged AR.
  • Follow-up on outstanding account balances 30-days from the date of service in accordance with client and organizational protocol with an emphasis on maximizing client satisfaction and provider profitability.
  • Process timely premium payments to providers.
  • Research and answer accounts receivable discrepancies.
  • Monitor payer responses, and other software as necessary to ensure prompt payment.

Our Client

Our client provides outsourcing, staffing, consulting and workforce solutions. Hiring for Engineering, Finance and Accounting, Healthcare, Human Resources, IT, Legal, Life Sciences, Manufacturing and Logistics, Sales and Marketing and Administrative roles. For 60 years. Via 5,000 offices in 39 countries.

Matching smart people with great jobs. Putting to work nearly 700,000 employees worldwide.

Helping people like you achieve your potential. Using innovative technologies and passion for people to provide you the best experience possible. Every single day.

Let this be your day. Put their expertise to work for you. You deserve it!

Experience Required for Your Success

  • 2-4 years claims handling and accounts receivable experience in the healthcare industry.
  • In-depth knowledge of accounts receivable and related functions
  • Proficient in Microsoft Office Products (Word, Outlook, Excel)
  • Ability to work both independently and collaboratively with a team
  • Highly oriented to detail, planning and organizing skills
  • Ability to work in a fast-paced environment
  • Time management and documentation skills
  • Ability to perform basic mathematics calculations
  • Exceptional reconciliation, analytic skills, and the ability to interpret EOBs/EOPs
  • A high level of accuracy and attention to detail and have a dedicated approach to work

What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?

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