Medical Claims Representative
Job Description
Job Description
We are looking for a detail-oriented Medical Claims Representative to join our team in Voorhees, New Jersey. In this long-term contract role, you will play a key part in ensuring the accuracy and timeliness of medical claims processing and administration. This position offers an excellent opportunity to contribute your expertise in billing, claims, and insurance verification.
Responsibilities:• Process and manage medical claims with a focus on accuracy and compliance.
• Ensure that all required authorizations are current and meet payor requirements.
• Verify patient insurance details to confirm coverage and eligibility.
• Collaborate with billing teams to resolve discrepancies and ensure timely submissions.
• Handle payor accounts, including follow-up on outstanding claims and payments.
• Investigate and resolve claim denials or rejections in a timely manner.
• Maintain detailed and organized records of claims and billing activities.
• Communicate effectively with insurance providers, patients, and internal teams.
• Stay updated on changes in medical billing regulations and insurance policies.• Minimum of 2 years of experience in medical claims processing or administration.
• Strong knowledge of medical billing procedures and terminology.
• Proficiency in handling insurance claims and verification processes.
• Familiarity with payor accounts and authorization requirements.
• Excellent attention to detail and ability to manage multiple tasks.
• Strong communication and problem-solving skills.
• Ability to work independently and collaboratively in a team environment.
Recommended Jobs
Registered Behavior Technician (RBT)
Job Description Job Description Are you interested in supporting children with autism to reach their fullest potential? Then this is the position for you! At BAYADA Home Health Care, our clie…
Specialty Care Transport Nurse
Pay: $52.00 - $60.00 per hour. Job description: 1:1 PT RATIO MUST HAVE EMT CERT WITHIN 90 DAYS OF HIRE 7:00pm-7:00am. Hiring for nights, overnights and weekends. SUMMARY: The SCT N…
Orthopedic Surgeon Paramus NJ
(Physician/MD qualifications required) Orthopedic Surgery - Orthopedic Surgeon Paramus NJ We are seeking a dynamic Orthopedic Surgeon to join our practices in the Paramus and Bergen County area. We…
SAP OTC Implementation Consultant - Senior Manager Save for Later Remove job
A career in our SAP Customer team, within our SAP consulting practice, will provide you with the opportunity to lead our clients in their customer transformation journey by reimagining exceptional …
Field Service Tech - Newark, NJ
SERVICE TECHNICIAN Location: Newark, NJ ARC Group is seeking an experienced technician with strong mechanical aptitude to join our client's team in Newark, NJ for a hands-on role focused on the re…
Internship - Education Collaboration
Read MoreHackensack Part-Time | This is an unpaid position The Education Collaboration Manager has direct access to community school partners as well as families served, the intern will interact wit…
Warehouse Operators
FRAUD ALERT: Please note that DSV will never request a chat interview or solicit funds from applicants or employees through its interviewing and hiring process. We do not require any form of payment …
Senior Identity Governance & Assurance Analyst
How would you like to join one of the most highly regarded financial institutions in New Jersey with deep roots in the community? Provident is a successful and highly regarded multi-billion dollar ba…