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Program Support Representative III/Medical Biller

Aston Carter

Posted Monday, July 17, 2023

Posting ID: JP-003910437

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Atlanta, GA
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• Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected. • Exceptional organizational skills are required • To a lesser degree, the resource may provide initial support for customer requests via telephone, email, fax, or other available means of contact to the Support Center. • Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary. • Works under moderate supervision and typically reports to the Customer Service Supervisor.


insurance verification, prior authorization, medical insurance, Case Management, Medical Billing, Claim, Data entry, Customer support, Medicare, Call center, Pharmacy, Customer service, Health care, Support, Insurance

Top Skills Details:

insurance verification,prior authorization,medical insurance,Case Management,Medical Billing,Claim,Data entry,Customer support,Medicare

Additional Skills & Qualifications:

• HIPPA certified • Experience in claim processing required • Medical Billing and Coding Certification required • Ability to interpret Explanation of Benefits (EOB) • Customer Service Experience preferred. • Pharmacy Technician experience preferred. - Must have experience with UB04/CMS1500 (Claims Forms) - EOP/EOB Literacy as well as 837/EDI knowledge

Experience Level:

Expert Level

Contact Information

Recruiter: Dana Miller

Phone: (904) 527-5645


The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Tag icon for On-SiteOn-Site
call center
case management
customer service
customer support
data entry
insurance verification
medical billing
medical insurance
health care
prior authorization