Explanation of Benefits (EOB) Specialist
Career Strategies - Revenue Cycle
Job Description
Job Description
Onsite EOB Specialist Opportunity! Weekly pay! $32+ per hour!
- Denial Management: Reviews EOBs and payment data to identify claim edits, pended claims, underpayments, and denials.
- Appeals & Re-billing: Drafts and submits appropriate responses (e.g., claims information forms or re-bills) to insurance companies and third-party payers.
- Claim Review: Determines accuracy of medical, coding, eligibility, and authorization information, and institutes required corrections.
- Record Keeping: Updates the Electronic Medical Record (EMR) and hospital computer systems to reflect payer correspondence and denial status.
- Collaboration: Works closely with case managers, billing supervisors, and insurance authorization specialists to resolve coverage disputes
Equal Opportunity Employer considering qualified applicants in accordance with applicable state and federal laws. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the LA County Fair Chance Ordinance, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance and state law.
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