MEDICAL CLAIMS PROCESSOR

posted:
Location
Madison, Wisconsin
Industry
Administrative & Support Services (Office and Administrative Support Occupations)
Job Type
Temporary
Working Hours
8:00 AM - 4:30 PM
Salary
US$ 20.00 per hour
Ref. Number
S_65710
Contact
Deb Wethal, Spherion
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Job Description

Spherion, in partnership with our client Exact Sciences, is currently recruiting for a temporary Medical Claims Processor who is looking to work from the comfort of their home.- This person MUST HAVE MEDICAL BILLING OR MEDICAL CLAIMS EXPERIENCE! This individual will be performing patient insurance eligibility verification for all claims requiring follow-up. The pay for this temporary position is $20/hr. Schedule is 1st shift. The duration of this assignment is 6 months with possible extension.

Responsibilities:
- Data entry and corrections in system including updates to permanent patient demographics.
- Processing and resolution of errors, rejections, and denials related to the submission of billing files.
- Research missing or erroneous information on orders including outreach and identification of unknown payors.
- Quickly and accurately post a high volume of patient, insurance and/or Medicare payments both electronically and manually.
- Reconcile all batches to the deposit on a daily basis.
- Timely and accurate posting of all approved adjustments and refunds of overpayments.
- Process resubmissions and appeals for denied claims.
- Review Accounts Receivable Reports to identify problematic accounts/payors trends.
- Route write off requests for any uncollectible Accounts Receivable.
- Complete position responsibilities within the appropriate time frame while adhering to quality standards.
- Ensure compliance with all Company procedures and guidelines including, but not limited to, Code of Business Conduct and Ethics.
- Stay current with relevant medical billing guidelines.
- Identify issues with billing, coding, and reimbursement related to payments and communicate these to supervisor.
- Provide ad-hoc support as necessary within the department (i.e. special projects, provide support due to outages/high volume).

Working hours: 8:00 AM - 4:30 PM

Skills:
- Excellent written and verbal English communication skills, including appropriate telephone etiquette.
- Demonstrated ability to read and comprehend written instructions.
- A positive attitude and excellent interpersonal skills with the ability to interact and build strong working relationships with customers and peers at all levels of the organization.
- Disciplined, self-motivated, and reliable: able to stay focused on a task and work independently; motivated to perform quality work; diligent about arriving to work on time and completing tasks that are assigned in a timely manner.
- Professional: conducts self in a professional manner in all interactions with members of the Exact Sciences team, clients and associates.
- Knowledge of health insurance terminology, governmental payers, managed care and insurance organizations.

Education:
High School

Experience:
1-4 years

Qualifications:
- MUST HAVE MEDICAL BILLING OR MEDICAL CLAIMS PROCESSING EXPERIENCE
- Demonstrated ability to work in Microsoft applications (Word, Excel, PowerPoint).
- One to two years of experience in a medical provider setting or billing department within the health care industry.
- High School diploma or GED required, come college coursework preferred
- You will be required to successfully complete all Epic Certification requirements with a score of 80% or higher. Exact Sciences will make a reasonable accommodation available if necessary to assist an employee with a disability to satisfy this requirement.


If you have experience with medical billing or medical claims processing and would like to work from the comfort of your own home in processing claims, this position could be a fit for you!

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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