Job Description
The Claims Resolution Specialist will work assigned holds and worklists to effectively resolve denials, takebacks, and credits. This position requires someone to work directly with the insurance company, the patient, and the healthcare provider to get claims processed and ultimately paid. In this role you will review and appeal denied and unpaid claims. The position requires someone to call insurance companies/payers regarding any discrepancies in payments and perform rebill projects and additional daily reports. The role requires verifying patients’ insurance coverage and updating claims/charts as needed. Also reviewing patient bills for accuracy and completeness and obtaining any missing information. This position also includes answering patient inquiries regarding billing, insurance and payments and acting as a primary billing resource and support to practice staff.
About Advantia Health
Advantia Health provides unparalleled healthcare to our customers by employing the most highly qualified individuals.