Claims Resolution Specialist

WHY JOIN FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

Responsibilities

• Review all medical insurance claims for resolution and payment.
• Resolve any incoming inquiries or payment denials from insurance providers for payment.
• Research, compile, and respond to documentation requests from insurance carriers in a timely basis.
• Contact insurance carriers to collect on open account balances.

Qualifications

• The Claims Resolution Specialist must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, and CPT codes.
• Must have an in-depth understanding of explanation of benefits (EOB).
• At least one year of prior medical billing or medical collections experience.
• EMR or GE Centricity Practice Management software experience preferred.
• Medical Oncology, Radiology, Radiation, Laboratory, or Pathology experience preferred.
• Excellent communication and interpersonal skills required.

Screens

• SCREENINGS – Background, drug, and nicotine screens