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Robert Half Medical Insurance Claims Specialist in Amherst, Massachusetts

Description Are you a Denials Specialist familiar with the revenue cycle process? Do you have excellent analytic and research skills and want to work for a company in the Education field? Contact Robert Half today about this terrific opportunity to build your career as a Denials Specialist. We're looking to fill this long-term contract / temporary position, based in Amherst, Massachusetts region, so feel free to contact us today.

Responsibilities

  • Identify the root cause of the denial and provide denial resolution

  • Handle resubmissions of corrected bills for reimbursement

  • Review and research bills in which a denial of payment has been received from the payer

  • Select appropriate measures for researching denials and complete stages to resubmit bills for reimbursement Requirements - Customer service and office administrative skills

  • Prior experience in denials management is preferred

  • Deep understanding of Physician Credentialing

  • Provider Credentialing experience preferred

  • Demonstrated knowledge of medical billing

  • Credentialing Processes experience required

  • Adeptness in Re-credentialing Application

  • Credentialing experience desired

  • Recredentialing experience highly desired

  • A real talent for the explanation of benefits (EOBs)

  • Minimum of at least 2-3 years of experience within the revenue cycle

  • Demonstrated knowledge of insurance regulations and policies, payment policies/guidelines and the ability to communicate and work with payers to get claims resolved and paid accurately

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half puts you in the best position to succeed by advocating on your behalf and promoting you to employers. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity – even on the go. Download the Robert Half app and get 1-tap apply, instant notifications for AI-matched jobs, and more.

Questions? Call your local office at 1.888.490.3195. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.

© 2021 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/terms-of-use) .

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