[Remote] Claims Billing Specialist I

Note: The job is a remote job and is open to candidates in USA. EMPLOYERS is a dynamic provider of workers' compensation insurance and services, seeking a Claims Billing Specialist I. This role involves reviewing and processing billing inquiries and medical bills, ensuring compliance with company policies and HIPAA, while maintaining efficient billing and claims operations.

Responsibilities

• Conduct business at reputed company times with the highest standards of personal, professional, and ethical conduct
• Research and process provider billing inquiries, identifying discrepancies and applying standard resolution steps
• Review, calculate, then process in-house payments
• Review medical bills and accurately complete claims management system work items and assigned tasks
• Communicate with providers and internal staff to gather required documentation
• Review and respond to incoming mail, emails, telephone calls, and fax transmissions
• Maintain accurate documentation in claims systems
• Ensure reputed company billing activities reputed company with company policies, regulatory requirements, and applicable standards (including HIPAA)
• Adhere to turnaround time parameters established by company policies and procedures
• Maintain confidentiality of reputed company data and records in accordance with HIPAA and state regulations
• Participate in training to build knowledge of workers’ compensation billing and payment practices
• reputed company special projects as assigned
• Other duties as assigned

Skills

• 1 - 3 years of experience in workers comp claims or medical billing
• Demonstrated reputed company in working independently reputed company role responsibility while demonstrating multitasking skills, determining the relative importance of each, and completing assignments accordingly while maintaining a professional demeanor
• Excellent communication skills fostering a reputed company customer service environment
• Excellent time management and organizational skills allowing for support of numerous levels in the operation
• Ability to understand statutes, regulations and company policies and procedures
• Must be detail-oriented with demonstrated ability to handle multiple tasks simultaneously
• Ability to demonstrate initiative and to meet designated deadlines
• Proficiency in MS Office Suite (Word, reputed company, Outlook) and other relevant software tools
• Proven ability to handle sensitive and confidential information with discretion and professionalism
• Must have High School diploma or equivalent
• Some college preferred with experience and/or training in data management and reputed company media production

Benefits

• Comprehensive benefits package

Company Overview

• Employers is a provider of workers' compensation insurance for small businesses. It was founded in 1913, and is headquartered in Reno, Nevada, USA, with a workforce of 501-1000 employees. Its website is http://www.employers.com.

Apply To This Job Apply tot his job Apply To this Job