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Remote Claims Associate Representative

Atlanta, GA, United States

Description

We're looking for a Remote Claims Associate Representative , working in Insurance industry in Atlanta, Georgia, United States .

Research/rectify third party denials/edits, requests for information and other related correspondence

Process a variety of Third Party Administrator (TPA) payments

Learn different claim platforms within eviCore and also client claims platforms when necessary

Analyze and clears payment variances

Verify patients' eligibility, coverage, and benefits and identify authorization requirements relates to working aged AR.

Follow-up on outstanding account balances at 30-days from the date of service in accordance with client and organizational protocol with an emphasis on maximizing client satisfaction and provider profitability.

Process timely premium payments to providers

Research and answer accounts receivable discrepancies

Monitor payer responses, and other software as necessary to ensure prompt payment

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