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Precertification and Insurance Processing Clerk

Jackson, MS 39211

Posted: 07/01/2020 Industry: Medical Pay Rate: $14-$15 per hour

Job Description

Seeking an experienced Precertification and Insurance Processing Clerk for a Jackson, MS clinic. 

  • Responsible for completing precertification authorization process for patients as needed.
  • Assists with risk management activities by handling OSHA policy and procedure development and safety training.
  • Responsible for submitting insurance claims, both manually and electronically, to third party payors.
  • Responsible for executing the electronic claim submission process, including status notification from the clearinghouse. Responsible for researching and resolving any claim discrepancies on the exclusion/payor reports.    
  • Researches credit balances and initiates refund process.
  • Answers patient questions regarding unpaid balances.
  • Follow up with insurance companies ensuring claims are paid.
  • Responsible for assisting at check out on busy days and when someone is out.
  • Assists with other duties as requested

Job Requirements

  • High school diploma or equivalent.
  • Knowledge of computer concepts and operations.
  • Strong data entry skills.
  • Prior experience in a medical office preferred
  • Ability to handle high volume of telephone work.
  • Ability to communicate clearly and concisely.
  • Ability to work independently and as part of health care team.
  • Ability to organize tasks and time effectively.
  • Ability to establish and maintain effective working relationships with patients, employees, and the public.
  • Maintains strictest confidentiality.
  • Ability to examine insurance payments/explanation of benefits for accuracy and completeness.
  • Make determinations regarding payments and adjustments to be posted.
  • Ability to make mathematical computations.
  • Free to operate within established policies and procedures.

Additional Information

Benefits will be discussed during the interview.

Meet Your Recruiter

Kelly Sellers

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