Medical Billing Claims Management Specialist - Full Time - Hybrid

$35,360 - $39,520/Yr

Experity - Machesney Park, IL

Full-time - Entry Level

Remote - Machesney Park, IL

5,001-10,000 employees

Publishing Industries

About the position

The Medical Billing Claims Management Specialist plays a crucial role in managing electronic claims for urgent care clinics, ensuring that claims are submitted accurately and efficiently. This position involves supervising the electronic data exchange, resolving claim issues, and maintaining communication with both internal and external stakeholders. The specialist is also responsible for supporting the Claims Management Supervisor and contributing to the overall performance of the revenue cycle management team.

Responsibilities

• Manages electronic clearinghouse to ensure claims are corrected and submitted daily and enrollments are in place for assigned clinics
• Supervises the efficiency of the electronic data exchange to ensure claims are corrected and submitted daily and required enrollments are in place
• Works on rejected unresolved claim issues and reports trends to supervisor and client success manager
• Communicates with internal and external customers via phone calls and written communications as needed
• Recognizes problems effectively and researches the resolution
• Solves detected issues within the given time requirements
• Sets up insurance website access for Experity users and clients and maintains updated login information
• Manages a shared email box for all of RCM client requests from internal and external stakeholders
• Sets up electronic funds transfer, updates bank information and sends out payer notifications to optimize cash flow for all clients
• Provides support for Claims Management Supervisor
• Researches, records findings, and communicates effectively with Supervisor to achieve optimum performance
• Maintains patient confidence and protects medical office operations by keeping patient information confidential
• Contributes to team effort by accomplishing related results as needed
• Performs other duties as assigned

Requirements

• High school diploma or equivalent
• Minimum of two years of related experience in a business, medical or technical environment
• Previous experience in a medical office setting and/or experience with an Electronic Medical Record software

Benefits

• Comprehensive coverage starts first day of employment including Medical, Dental/Orthodontia, and Vision
• Eligibility for synthetic ownership in Experity after one year of employment
• Employee Assistance Program including counseling, legal resolution, financial education, and more
• Flexible work scheduling to manage work-life balance
• Generous Paid Time Off (PTO) plan that increases with milestones
• Career development opportunities through a learning program foundation
• Team building events including family company picnics and holiday parties
• Competitive pay with quarterly bonuses and a 401(k) retirement plan with employer match