Claims Clerk, Sr. reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk, Sr. verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk, Sr. processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk, Sr. works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Claims Clerk, Sr. typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Full-time 80 hours every 2 weeks | Mon-Fri flexible schedule between 6a-6p | Denial management experience desired | After minimal in-office training this position can be worked from home
JOB SUMMARY:
Responsible for the timely submission and resolution of all insurance claims per regulatory, payer and Corporate Compliance requirements. Functions as a resource in the area of third party, state and federal government payers. Responsible for integrating system practice management and other available system technologies into the billing process consistent with corporate guidelines. Supports and implements patient safety and other safety practices as appropriate. Supports and demonstrates Family Centered Care principles when interacting with patients, their families and with co-workers.
"My team’s culture is friendly and united, everyone on the team engages in a positive way and helps each other out when needed." ~Michele (Current Claims Assistant)
QUALIFICATIONS:
CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employers.
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0 Claims Clerk, Sr. jobs found in Saint Cloud, MN area