Clinical Claims Specialist

hace 4 días


San Francisco, Heredia, Costa Rica Auxis A tiempo completo

About the Role:

You will be working for a fast-growing business process outsourcing provider to support one of our largest accounts and leading healthcare services company.

This company serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.

As a Clinical Claims Specialist, you will review customer accounts and identify discrepancies between expected costs and payer payments.

Your key role will be determining the patient's insurance status and extent of insurance benefits, ensuring an efficient billing process for medical providers.

Responsibilities:

  • Ensure efficient government discrepancy analysis and processes including:
  • Monitoring and resolution of unpaid claims and month-end governmental reports
  • Governmental discrepancy analysis and resolution
  • Batch report corrections
  • Medicare Bad Debt management

Requirements:

To succeed in this position, you will need:

  • English - Spanish Language skills (Oral and writing 85% or higher)
  • A high school diploma or equivalent
  • At least 1 year of experience in Customer Service positions
  • Strong customer service skills
  • Attention to detail
  • Comfortable multitasking in a high volume/high demand environment
  • Good presentation and a polite, tactful, and friendly character

About Auxis:

Auxis prioritizes employee growth and development to help you advance your career.

Auxis' culture empowers you to be your best in the interest of a common team goal.

We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.

Benefits:

  • Health benefits including medical, vision, and dental
  • Transportation subsidy
  • Asociacion Solidarista
  • Training and development programs
  • Employee recognition program
  • Paid time off and family-paid leave
  • Paid day off for your birthday

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