Claims Specialist
Overview Hearing Health Systems has provided hearing aid program management services to clients since 1982.
We implement practice growth strategies and relieve clients from burdensome administrative tasks.
Our people, process, and products enable hearing healthcare professionals to get back to treating patients.
The Claims Specialist will be a key team member of our fast-growing company.
This client facing role will be a liaison between our providers and insurance companies to ensure that the claims process is seamless.
Responsibilities Case management, including obtaining pre-authorizations on behalf of client Submitting claims to insurance carriers & state agencies Reviewing of EOB's for proper reimbursement, verifying patient coverage Follow up on claims outstanding, following-up with insurances working denials, rejections until claim is resolved and paid, submitting appeals as needed Managing clients' open receivables (A/R) and working with team members to ensure the open invoice report shows a constantly declining value Ability to identify patterns or issues within the billing process, ability to ensure timelines are met, claim information is accurate and current and quality standards are met General client management - discussing results with audiologists and their staff Assist with patient billing inquiries Customer service focused to include face-to-face interactions and in verbal and written communications with internal and external customers Appropriately handle all incoming calls and correspondence in a professional and timely manner Open and appropriately distribute mail daily, as well as prepare mail for pick-up Maintain customer database, making sure all addresses, phone numbers, email addresses and contact names are up-to-date and accurate Run all business processes according to company procedure General office projects as directed Qualifications 3
years office administrative experience in a professional environment Minimum of one (1) year medical insurance claims experience preferrable.
Strong MS Excel and Word required Quick Books experience preferred High school diploma or GED; Associates Degree (two-year college or technical school) preferred Customer service focused to include face-to-face interactions and in verbal and written communications with internal and external customers Excellent verbal and written communication skills, and a willingness to pursue answers Proven knowledge of insurance contracts & reimbursement Working knowledge of CPT and ICD-10 required Working knowledge of CPT and HCPCS Recommended Skills Administration Billing Business Processes Case Management Claim Processing Communication Estimated Salary: $20 to $28 per hour based on qualifications.
We implement practice growth strategies and relieve clients from burdensome administrative tasks.
Our people, process, and products enable hearing healthcare professionals to get back to treating patients.
The Claims Specialist will be a key team member of our fast-growing company.
This client facing role will be a liaison between our providers and insurance companies to ensure that the claims process is seamless.
Responsibilities Case management, including obtaining pre-authorizations on behalf of client Submitting claims to insurance carriers & state agencies Reviewing of EOB's for proper reimbursement, verifying patient coverage Follow up on claims outstanding, following-up with insurances working denials, rejections until claim is resolved and paid, submitting appeals as needed Managing clients' open receivables (A/R) and working with team members to ensure the open invoice report shows a constantly declining value Ability to identify patterns or issues within the billing process, ability to ensure timelines are met, claim information is accurate and current and quality standards are met General client management - discussing results with audiologists and their staff Assist with patient billing inquiries Customer service focused to include face-to-face interactions and in verbal and written communications with internal and external customers Appropriately handle all incoming calls and correspondence in a professional and timely manner Open and appropriately distribute mail daily, as well as prepare mail for pick-up Maintain customer database, making sure all addresses, phone numbers, email addresses and contact names are up-to-date and accurate Run all business processes according to company procedure General office projects as directed Qualifications 3
years office administrative experience in a professional environment Minimum of one (1) year medical insurance claims experience preferrable.
Strong MS Excel and Word required Quick Books experience preferred High school diploma or GED; Associates Degree (two-year college or technical school) preferred Customer service focused to include face-to-face interactions and in verbal and written communications with internal and external customers Excellent verbal and written communication skills, and a willingness to pursue answers Proven knowledge of insurance contracts & reimbursement Working knowledge of CPT and ICD-10 required Working knowledge of CPT and HCPCS Recommended Skills Administration Billing Business Processes Case Management Claim Processing Communication Estimated Salary: $20 to $28 per hour based on qualifications.
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