Would you like the opportunity to work for one of the largest healthcare networks here in the Cincinnati area? Don't wait and apply now!
What you will be doing as the Claims Resolution Specialist:
- Adjudicates claim/batch submissions from providers through the adjudication process and submits for final payment approval.
- Reach out to insurance providers regarding claims.
- Requires the ability to independently analyze and resolve claim issues, and respond to providers timely and in a professional manner.
- Determines and initiates appropriate requests for medical and non-medical information needed to properly pay claims by exhibiting strong knowledge of the theory and practice of the claim function.
- Initiates and conducts follow-ups via proficient use of claims systems and related business systems including telephone, facsimile and email.
What you will need as the Claims Resolution Specialist:
- High School Degree or GED Business
- Epic experience
- Up to 2 years Customer Service Healthcare Insurance, Healthcare Administration
- Ability to work independently
- Ability to utilize multiple software programs simultaneously
- Experienced in Microsoft Suite