Robert Half Healthcare Practice is seeking a Claims Specialist to assist a large insurance firm in San Francisco.
Responsibilities Include: - Managing arbitration account, settlement negotiation, ongoing follow up to ensure medical claims are paid during the settlement process. - You will be responsible for an efficient billing process, engagement and cases settlement negotiation of multiple claims. - Ensure billing processes recover the maximum permitted payments in compliance with our regulatory and contractual obligations. - All claims are billed accurately and timely using the correct forms and adhering to policies. - Designing changes to improve our medical billing processes and billing results (rates, payment times, billing efficiency, compliance). - Analyze and interpret financial and operational performance - Evaluate, code and billing pain management office visits and procedures.