Job Description

Job: 18-55570
Location: Correct Care Solutions, TN, Nashville
Facility: Correct Care Solutions
Shift: Day
Job Type: Regular Full-Time

Overview

Our Claims Research Specialist is the face of the claims department to providers and customers in contacting CCS for questions regarding claims authorization, payment and related workflows.   They document calls issues, insure follow-up and proper resolution of all complaints and problems.

Qualifications

Education:

  • Associates degree or similar medical claims experience

Experience:

  • Excellent written and verbal communication skills
  • Three (3) or more years of medical claims investigation experience.
  • Prior experience on the phones researching and resolving claims issues.
  • Strongly analytical, research and problme solving skills


Licenses/Certifications:

  • None required

Responsibilities

  1. Receive calls from providers and customers dealing with medical claims issues. 
  2. Document each call in salesforce review/track all correspondence recieved.
  3. Resolve all claims issues by performing all necessart research and comunicate solutions in response to customer 
  4. Triage issues and determine for cross-functional department involvement in resolving billing claims issues.
  5. Research and answer questions from providers, customers or sites regarding claims payment, eligibly and authorizations for services.
  6. The above responsibilities are a highlight of responsibilities and not a full list. Other responsibilities may be performed as assigned.


CCS is an EOE/Minorities/Females/Vet/Disability Employer

Application Instructions

To apply directly to Correct Care Solutions, please click the link below. Another window will open and allow you to apply online.

Apply Online