[Hiring] Claims Resolution Specialist @Advantia Health

Role Description

Advantia is seeking a Claims Resolution Specialist specializing in Lab Billing to join our team! As a Claims Resolution Specialist (Lab Billing), you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role demands a solid understanding of medical terminology, coding, and billing procedures. This role will report to the RCM Manager.

• Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals.
• Initiating EFT (electronic funds transfer) set up with payers & third-party portals.
• Assist in vendor support of daily cash reconciliation duties.
• Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials.
• Clear understanding of reconciling offset/recoupment payer remits.
• Call carriers and third parties to resolve unidentified payments/reconcile items.
• Responsible for maintaining payer portal admin and employee registration.
• Assist the RCM Manager with various projects.

Qualifications

• High School/GED Education required
• Previous experience in medical billing or a related field is preferred.
• Proficiency in electronic health records and billing software preferred.
• Athena experience required.

Benefits

• Health, Dental, and Vision Insurance
• Health Savings Account (HSA) and Flexible Savings Account (FSA) Option
• 401k Retirement Plan
• Life and Disability Insurances
• Paid holidays/PTO