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Claims Specialist

       Full Time

Remote

We have a terrific opportunity for a Claims Specialist (Healthcare) who wants to join our team remotely.

About Nationwide Medical, Inc.

We are located in Calabasas, CA, providing healthcare to respiratory patients. We need people like you who know the difference between doing a good job and going the extra mile. Apply today to take the first step to make an impact in the lives of those who need our help.

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We’ve Got You Covered

We offer a competitive hourly rate and a friendly, casual work environment. Full-time employees are eligible for generous and comprehensive health plans, paid time off, and 7 paid holidays.

 

More Reasons to Join the Team

Promotion from within, friendly and upbeat atmosphere, Employee of the Month awards, employee referral bonus program, and more.

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As a Claims Specialist (Healthcare)…

You will investigate outstanding claims and work with insurance companies to resolve payment issues. Are you solutions-oriented, have a sense of urgency, and understand medical claims? Let’s talk!

 

Hours: 8:30 a.m. to 5:00 p.m., Monday through Friday

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Job Location: Remote


What You’ll Do:

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  • Review daily reports for the status of pending payment of claims

  • Review invoicing individually to determine recovering claims status information; inquire about claims status either by phone or via insurance website(s) for online claims

  • Assess best method of recovering payment of claims

  • Comply with requests from insurance company for additional documentation acquisition

  • Identify claims which have not been posted and update notes accordingly in patient file

  • Review report for outstanding or unresolved invoicing and conduct research (online source, telephone call to insurance company) on the claim regarding status, pending action, etc.

  • Respond and follow up on daily incoming emails from other NMI departments to resolve questions related to patient billing, insurance verification, posting, etc.

  • Collect and distribute incoming mail; review EOBs and cross-check with notes in patient database and update any other patient information as needed or other information requested from insurance carrier

  • Handle frequent daily incoming calls from insurance companies inquiring about patient questions, documentation requests, and miscellaneous requests as needed

  • Other duties as assigned

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How You’ll Stand Out:

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  • Bachelor’s Degree or equivalent experience in medical billing preferred

  • Demonstrated knowledge of third-party billing requirements and State and Federal billing and collections guidelines

  • Demonstrated attention to detail, follow up, and ability to prioritize workload

  • Ability to work both independently and as part of a team

  • Excellent customer service skills

  • Ability to communicate clearly both verbally and in writing

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Compensation: $20.00-$22.00/hour


We are an equal opportunity employer committed to providing a diverse environment.


We are an equal opportunity employer committed to providing a diverse environment. This job description is intended to describe the general nature of the work employees can expect within this particular job classification. It is certainly not a comprehensive inventory of all duties, responsibilities and qualifications required for this job.

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