Related skills
ms office emr claims adjudication health insurance payer communications📋 Description
- Research MVA and HI claims using EnableComp tools.
- Review medical records and supporting documentation for claims.
- Contact payers for claim status; rebill as needed.
- Resolve HI/GI receivables; file corrected claims/appeals.
- Review remittance to ensure proper adjudication; address underpayments.
- Identify denial trends and escalate to leadership.
🎯 Requirements
- High School Diploma or GED; Associate/Bachelor preferred.
- 2+ years in healthcare billing/collections; EMR/Billing systems.
- 2+ years client-facing/customer service experience.
- 1+ year Health/Government insurance claim resolution.
- Proficient in MS Office (Word/Excel/Outlook).
- Knowledge of motor vehicle claim processing & health insurance.
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