Claims Specialist

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Claims Specialist

Lexington, Massachusetts

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Full Time Temporary/Contract

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NA

Lexington, Massachusetts

Full Time Temporary/Contract

NA

November 22, 2022

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Job ID: A1301032KW_1669151006

November 22, 2022

Job ID: A1301032KW_1669151006

Job Summary

Job Id: A1301032KW_1669151006 Apply Now

Our client, a home healthcare service located in Lexington, MA, is seeking 10 Insurance Claim Specialists to join their team. These roles are onsite Monday- Friday at 40 hours a week, and pays up to $27 an hour depending on experience levels.

Job Duties:
* Analyze and rectify claims issues with payers by timely follow up of claim status/payment.
* Reviews and assures claims are processed and paid in full according to contractual agreements.
* Ensures revenue is booked according to appropriate contract allowable.
* Communicates with branches and other departments to assure resolution of reimbursement issues
* Handles collections calls promptly with professionalism to payers and/or patients.
* Protects patient health information by following regulations for HIPAA compliance
* Ensures daily productivity is met and monthly and monthly closing goals are met.
* Meet and Maintain Cash Collection Goals and Metrics on a daily and monthly basis.
* Timely Review of Remittance Advice/Correspondence; take appropriate steps to appeal non-payment of claims.
* Utilize payer websites as resources to manage claim status and resolution.
* Report to Manager on any reimbursement issues resulting in non-payment.
Qualifications:
* Must be able to prioritize, multi-task, meet goals and deadlines.
* Strong understanding of insurance terms, medical terminology, pricing methodologies for commercial and government billing requirements.
* 1+ year of experience collecting from payors (health plans, medical groups and pharmacy benefits managers)

A1301032KW_1669151006

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About Beacon Hill

Beacon Hill is an Equal Opportunity Employer that values the strength diversity brings to the workplace. Individuals with Disabilities and Protected Veterans are encouraged to apply.

Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.

Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.

We look forward to working with you.

Beacon Hill. Employing the Future™