Claims Appeal Specialist -White Plains, NY

Large tristate multi-specialty group practice; including 36 providers, 24 offices and 21 hospitals, is looking for a highly motivated, organized, detail oriented individual for very high volume, fast paced billing office located in White Plains NY .   

Responsibilities:  

  • Working EOB denials 
  • Contacting carrier on denied claims   
  • Contacting carrier for post claim negotiation of fee 
  • Prepare written claim appeals 
  • Sending/following up on appeals to insurance carriers paper and electronically 
  • Contacting insurance carriers on unpaid claims 
  • Submitting corrected claims to insurance carriers when necessary 
  • Maintain strict confidentiality  

Experience: 

  • Knowledge of claim appeal processes and guidelines 
  • Knowledge of electronic appeal submissions 
  • Knowledge of Microsoft Word and Excel 
  • Knowledge of regulatory standards and compliance requirements 
  • Medical billing experience   

Qualifications: 

  • Attention to detail and accuracy 
  • Good verbal and written communication skills 
  • Organizational skills 
  • Problem analysis and problem solving skills 
  • Team member 
  • Able to work independently with minimal supervision 
  • Time management skills 

(SE)

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