Claims Processing Assistant – Neurosurgery

This is a fully remote position, open to applicants in Florida.

📋 Description

• Prepare insurance claims for submission to third-party payers and/or liable parties.

• Ensure claims are accurate by reviewing proper diagnosis and procedure codes.

• Analyze claim rejections and liaise with payers to address billing discrepancies.

• Generate and assess routine billing reports.

• Suggest process enhancements based on analysis.

• Address complex inquiries from patients, third-party payers, and physician practices through phone and written communication.

⛳️ Requirements

• High School diploma equivalency OR a minimum of 1 year of relevant cumulative job-specific experience is required.

• Credential(s) Required: None.

• If applicable, professional licensure/certification can substitute for education or experience.

• At least 3 years of experience in acute and provider-based hospital medical billing.

• Proficient in using 1500 and UB04 claim forms.

• In-depth understanding of the revenue cycle, covering front-end, mid-cycle, and back-end RCM denial management.

• Strong technical expertise in charge entry, coverage verification, line of business guidelines, and authorization prerequisites.

🏝️ Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage, and HSA/FSA options.

• Employer-matched 403(b) retirement plan.

• Resources for planning and hardship situations.

• Disability and life insurance coverage.

• Pro-rated paid time off (PTO) and holiday benefits.

• Ascension-funded tuition (Vocare) program.

• Tuition reimbursement opportunities.

• Continuous professional development and online learning programs.

• Employee Assistance Program for additional support.

• Counseling and peer support resources available.

• Spiritual care and stress management resources offered.

• Parental leave benefits.

• Adoption assistance and family-oriented benefits.

• Optional legal and pet insurance available.

• Transportation savings programs.