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Job Description
Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.
Shield HealthCare is looking for a Healthcare Claims Clerk to research claim denials and underpayments. The position has a set schedule, Monday through Friday, no nights or weekends.
JOB RESPONSIBILITIES:
- Research and resolution of claim denials and underpayments
- Prepare and submit reviews and appeals to third party carriers
- Phone contact with third party carriers, customers and company staff to resolve billing issues.
- Research and identify rebills, write offs and refunds, as necessary
QUALIFICATIONS:
- Ability to handle high volume with deadline pressure
- Ability to multi-task
- Demonstrated problem solving ability, detail orientation, analytical, and organizational skills
- Excellent verbal and written communication skills
BENEFITS:
- Medical, Dental, and Vision
- 401(k) with Company Match
- Sick and Vacation Days
- Flexible Spending Account
- Life & Disability Insurance
- Education Assistance
Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.
PI201288018
