Medical Claims Specialist

We are looking for a Medical Claims Specialist to work as a part of a team for one of our important US-based clients. This is a full-time position located in Montevideo, Uruguay.

JOB SUMMARY:

- Responsible for providing quality customer service while performing collection of assigned outstanding and aged account balances

- Documents all collection activity; maintains and organizes unit and responds to all correspondence, communication and/or verbal inquiries from all relevant parties

- Ensures the quality, integrity and proper work effort of assigned work

- Understands and adheres to all policies and procedures, as well as local, state and federal regulations, relevant to their area of operation

- Maintains acceptable levels of productivity of all assigned accounts

- Utilizes processes and applicable client systems effectively

- Records and maintains complete and accurate documentation of all activity performed on appropriate medium

- Creates acceptable payment plans for patient or responsible party to be able to live by and fulfill

- Informs supervisor/manager regarding operational issues, including client and PFS needs and concerns

- Responds to and follows up on all inquiries/requests

KNOWLEDGE, SKILLS, ABILITIES:

- Effective verbal and interpersonal skills
- Phone etiquette and soft skills
- Critical thinking and investigative skills
- Bilingual in Spanish and English both verbal and written communication
- Computer skills
- Reading and understanding medical claims
- Ability to assess problems and investigate proper course of action
- Professional demeanor and attitude
- Detailed oriented and a commitment to excellence


EDUCATION / EXPERIENCE

High School Diploma
1+ year of credit/collections or customer service experience

Or

1+ year of university coursework

Very competitive salaries so come work with us!