Medical Customer Service Associate
CurrentReviewed medical claims for accuracy and completeness, verifying patient eligibility and coding.Researched claim denials and appeals to determine appropriate resolution.Responded promptly to customer inquiries regarding claim status or other issues.Submitted electronic claims through various clearinghouses when necessary.Stayed current on HIPAA regulations, benefits claim processing, medical terminology and other procedures.Researched and resolved complex medical claims issues to support timely processing.Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.Verified patient insurance coverage and benefits for medical claims.Coordinated with contracting department to resolve payer issues.Communicated required insurance information in person and by telephone to patients, physician offices, third party payers and agencies.Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.