Claims Specialist - Flagship Specialty Partners

Company:  Carolinas Center For Oral & Facial Surgery
Location: Charlotte
Closing Date: 03/11/2024
Hours: Full Time
Type: Permanent
Job Requirements / Description

The Claims Specialist is responsible for submitting patient charges and claims to insurance companies, as well as, reviewing claims and charges for accuracy.
Essential Duties & Responsibilities:

  • Contributes to the quality management process; identifies role and contributions upon request.
  • Adheres to safety policies and procedures in performing job duties and responsibilities.
  • Reports observed or suspected violations, hazards, and noncompliance according to Practice policy.
  • Observes safety measures in performance of job duties and responsibilities.
  • Responds to emergency situations with competence and composure.
  • Communicates effectively with co-workers, physicians, visitors, patients, and other organizations
  • Interactions are respectful and courteous.
  • Objectively evaluates suggestions, grievances, and processes to identify opportunities to improve performance and quality of care or seeks further guidance, as needed.
  • Communicates effectively and professionally using a translator when necessary.
  • Documents that information received from the patient is disseminated to the appropriate people or departments.
  • Maintains and promotes professional competence through continuing education and other learning experiences.
  • Seeks new learning experiences by accepting challenging opportunities and responsibilities.
  • Objectively evaluates suggestions or criticisms and attempts to improve performance or seeks further guidance as needed.
  • Attends and actively participates in meetings, committees, in-services, seminars, workshops, conferences, quality management activities.
Minimum Qualifications:
  • High school diploma or equivalent
  • Intermediate to advanced Microsoft Excel skills
  • Exceptional customer service
  • Outgoing and energetic attitude
  • Ability to manage multiple projects
  • Strong initiative and able to exercise sound judgment
  • Detail-oriented, sound analytical and problem-solving skills
Preferred Qualifications:
  • Associate's in Accounting, or related field
  • Experience with Netsuite
  • 2-3 years medical &/or dental office experience
  • Training/experience in business office activities
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Carolinas Center For Oral & Facial Surgery
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