Bilingual Medical Claims Processor - J. Morrissey

Bilingual Medical Claims 

Work for a growing 3rd Party Administrator that focus's on Healthcare Claim payments nationally. These transactions are for healthcare benefits, and medical payments including deductibles and co-payments. 

Monday through Friday: 11:30am - 8:00pm with 2 days  9:30am to 6:00pm

Pay Rate: $22.00 to $24.00 Per Hour based on Experience 

Job Responsibilities:

Resolve client health premiums and out of pocket medical expenses by reviewing medical documentation and looking at gaps in medical documentation or records that could help with payment guidelines.

A representative list of duties: 

• Answer phones and respond to client inquiries related to payments made on their behalf. 
• Make outgoing calls to clients, medical providers, and insurance companies to resolve coding, payment, and billing issues. 
• Identify, research and resolve client issues.
• Ensure payment processing timeliness and accuracy are met.
• Send follow up letters approval and denial letters.

Required Skills:

• Associate’s Degree preferred  
• Must be able to read, write, and speak Spanish/English!
• Experience with Insurance Follow up / Medical billing and payment resolution / Insurance Claims and EOBs. 
• Good understanding of Medicare, Medicaid, Commercial insurance. 
• Ability to read and identify missing Clinical Documentation, Enrollment; and Payment Terms, and out of pocket expenses; Benefits Coordination with other insurance coverage.
• Proficient with Computers / Technology. 

This role is in a very nice office building that is easy to access with Free onsite parking and a cafeteria.  



INDH