Prairie Ridge Health Inc.
Columbus, WI
Job Description Job Description Prairie Ridge Health is looking for a team member to join Business Services in the role of Claims Resolution Specialist. This position is 1.0 FTE (40 hours per week) and will work Monday - Friday, days. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner... POSITION SUMMARY The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are followed up in a timely manner. This position also requires corresponding with other teams on various types of errors to resolve claims needing additional review. They independently review accounts and apply billing follow up knowledge required for all insurance payors to ensure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to...