Medical Billing / Insurance Claims Specialist

Job Description

Job Description

PHA Health specializes in providing high-quality, low-cost healthcare to members through our benefit plans. Our commitment to our team and clients is to provide a benefit plan for employers and their employees that is sustainable, affordable, and promotes well-being. Our team members must possess the company's core values:

• Put People First
• Do the Right Thing
• Be Humbly Confident
• Be Resilient

PHA Health is looking for a full-time Medical Billing / Insurance Claims Specialist.

Essential Duties and Responsibilities:

• Answer member benefit questions
• Review member EOB's and member bills to ensure accurate processing
• Work closely with TPAs for claim processing issues
• Assist provider offices and facilities with claims status questions
• Data Entry
• Filter/disperse incoming claims to appropriate TPAs
• Create and track invoices
• Respond to calls and emails in a timely manner
• Provide excellent customer service

Pay: DOE

Work Location: In person or remote

Job type: Full-Time day shift Monday through Friday

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Vision insurance
• AFLAC benefit package
• Paid time off