Company Info

PharmaSeek Companies

8040 Excelsior Drive, Suite 300
Madison, WI, United States

Phone: 6086649000
Web Site: www.pharmaseek.com

Company Profile


Claims Adjudicator


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Job ID:

3165

Location:

Madison, WI, United States 

Category:

Accounting, Admin-Clerical, Customer Service, Entry Level, Insurance

Salary:

per hour
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Job Views:

46

Zip Code:

53717

Employment Type:

Full time

Posted:

06.08.2017
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Job Description:

Responsibilities
The Claims Adjudicator will work in partnership with the Care Coordinator and the insurance company to determine the amount of money that will be paid on a medical claim.  This is a client-focused position requiring the skill sets to manage a portfolio of contracts to ensure accurate and timely billing, collection, reconciliation, and reporting of transactions related to the client and provider agreements.
Essential Job duties and Responsibilities:
  • Review Provider agreements as assigned to verify correct billing
  • Prepare invoices based on a client’s medical activity and contractual milestones
  • Apply payments received in a timely and accurate manner
  • Prepare financial reports
  • Reconciliation and balancing of work processed
  • Collection correspondence and phone inquiries to insurance companies on outstanding client A/R
  • Respond to client and physician inquiries regarding billing and payment issues
  • Maintain client files
 
 

Job Requirements:

Qualifications
  • Associate’s Degree or higher in Accounting/Finance or related field
  • Minimum of one year experience in general accounting
  • Experience in Excel & QuickBooks with a solid understanding of accounting practices preferred
  • Superior customer service skills
  • Excellent written and oral communication skills
  • Energetic, self-starter with the ability to work in a team environment as well as independently
  • Ability to think analytically with a talent for problem solving
  • Detail oriented, with strong time management and planning skills to effectively meet aggressive deadlines