Claims Status Specialist (GF)

General DescriptionTVG-Medulla, LLC provides support and services to two comprehensive chiropractic care companies, Chiro One Wellness Centers and MyoCore Personalized Pain Care, both industry leaders in evidence-based, patient outcomes-centered care.The Claims Status Specialist will maximize insurance collections by investigating claim status on assigned accounts and performing appropriate follow up actions to ensure payment of claims.Essential Functions and ResponsibilitiesInvestigate status of insurance claims on assigned accounts by reviewing mail/EOBs, insurance websites, calling insurance companies, etc.Facilitate collections of balances due by performing the appropriate follow up actions once claim status is determined.Review claims submissions for errors and update/correct erroneous claims.Maintain patient ledgers on assigned accounts to reflect accurate balances due.Communicate with clinical teams regarding information requests and claim status updates and maintain follow up as needed.Maintain claim status log with detail of status and actions taken on assigned accounts.Ensure all communication is clear, professional, and branded.Notify management of any strange scenarios, possible compliance concerns or recurring issues.Minimum QualificationsProficient computer and data entry skillsBasic knowledge of insurance benefitsFamiliarity in Microsoft Office (primarily Outlook, Excel, and Word)Preferred QualificationsTwo or more years of insurance, billing, or related experienceAbility to remain calm and professional during difficult situationsExcellent written and verbal communication skillsAbility to multi-task and prioritizeSolution-oriented approach to problem-solving

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