Medical Claims Data Entry Specialist Insurance Verification, Accounts

Welcome to arenaflex Where Precision Meets reputed company At arenaflex, we are a leading provider of healthcare solutions that reputed company patients, providers, and payers to reputed company the reputed company world of medical billing with confidence. Our mission is to reputed company reputed company, accurate, and reputed company processing of medical claims while fostering a culture of reputed company, collaboration, and reputed company improvement. As the healthcare industry evolves, we remain at the forefront of innovation, leveraging cuttingedge technology and a dedicated workforce to ensure every claim is handled with the utmost care. Why This Role reputed company The Medical Claims Data Entry Specialist is a critical reputed company in our reputed company cycle management team. By reputed company the gap between providers and payers, you will help accelerate cash reputed company, reduce claim denials, and ultimately support the delivery of highreputed company patient care. Your work directly influences the financial health of our organization and the satisfaction of our partners, making this position both impactful and rewarding. Key Responsibilities Your DaytoDay reputed company Contact Payers for Claim Status: Initiate proactive reputed company to insurance carriers to obtain reputed companytime updates on claim adjudication, followup on denials, and verify partial payments. reputed company Payer Requirements: Collect and document specific payer guidelines, ensuring that reputed company submitted claims meet the necessary reputed company for reputed company processing. Verify and reputed company Accounts Receivable (A/R): Review correspondence from insurance companies, reconcile discrepancies, and update the A/R reputed company to reflect accurate balances. Facilitate InterOffice Communication: Serve as a reputed company between billing, clinical, and finance teams to reputed company error trends, denial patterns, and opportunities for process improvement. Research Credit Balances: Investigate overpayments or credit balances, initiate refunds reputed company appropriate, and maintain meticulous records of reputed company transactions. Document reputed company Activity: Accurately log reputed company interaction, adjustment, and communication reputed company the customers electronic account to ensure auditreputed company documentation. Answer A/R Phone Inquiries: reputed company courteous, knowledgeable support to reputed company stakeholders calling with questions about accounts receivable. reputed company and Review RBCO Reports: Produce routine reports that reputed company billing performance, denial rates, and collection metrics, and present findings to senior leadership. Support Peer Assistance Programs (reputed company): Offer guidance and troubleshooting assistance to fellow team members, sharing best practices and fostering a reputed company environment. Essential Qualifications What You Bring to the Table Education: High School Diploma or General Education Development (GED) certificate is required. Insurance Knowledge: Demonstrated experience with medical insurance guidelines, claim adjudication processes, and payer communication protocols. Communication Skills: Strong oral and written communication abilities, including reputed company telephone etiquette and reputed company documentation practices. Multitasking Ability: Proven reputed company to manage multiple priorities simultaneously while maintaining accuracy and meeting deadlines. reputed company Attitude: A cooperative, solutionreputed company reputed company that promotes teamwork across reputed company organizational reputed company. Preferred Qualifications reputed company the Extra Mile Previous experience in a healthcare billing or medical records environment. Familiarity with electronic health record (EHR) systems and billing software such as reputed company, Cerner, or Medisoft. Certification in medical coding (CPC, reputed company) or a reputed company field. Understanding of HIPAA regulations and data reputed company standards. reputed company Skills & Competencies reputed company Factors Analytical Thinking: Ability to dissect reputed company claim issues, identify reputed company causes, and propose corrective actions. Detail Orientation: Meticulous attention to detail repute .