Claims Resolution Specialist at Advantia Health | Torre
Claims Resolution Specialist
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Advantia Health

Claims Resolution Specialist

Advantia Health
Emma
Emma
You'll ensure accurate medical billing and reimbursement, directly supporting women's healthcare transformation.
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Full-time

Legal agreement: To be defined

Compensation
USD18 - 22/hour
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Remote (for United States residents)
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Emma of Torre.ai
 4 days ago

Requirements and responsibilities

Advantia is seeking a Claims Resolution Specialist to join our team! As a Claims Resolution Specialist, you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role demands a solid understanding of medical terminology, coding, and billing procedures. This role will report to the RCM Manager.Job Responsibilities:Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals.Initiating EFT (electronic funds transfer) set up with payers & third-party portals.Assist in vendor support of daily cash reconciliation duties.Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials.Clear understanding of reconciling offset/recoupment payer remits.Call carriers and third parties to resolve unidentified payments/reconcile items.Responsible for maintaining payer portal admin and employee registration.Assist the RCM Manager with various projects.Job Requirements:High School/GED Education requiredPrevious experience in medical billing or a related field is preferred.Proficiency in electronic health records and billing software preferred.Athena experience required.Benefits & Compensation:Health, Dental, and Vision InsuranceHealth Savings Account (HSA) and Flexible Savings Account (FSA) Option401k Retirement PlanLife and Disability InsurancesPaid holidays/PTOCompensation Range: $18.00-$22.00/hrPlease note compensation is based on years of experience.Please note: Advantia Health provides unparalleled healthcare to our customers by employing the most highly qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment.Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage EOE M/F/D/V.
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