Accounts Receivable Claim Status Specialist - PI/WC

Responsibilities

• Submit electronic insurance claims and review reports for errors
• Correct and resubmit claims, reconsiderations, and appeals
• Maintain patient ledgers in Platinum Patient Accounting Software
• Investigate and process Explanations of Benefits from insurance companies
• Review accounts receivable reports daily to facilitate collection of balances
• Conduct follow-up on unpaid, underpaid, or denied claims via portals, phone, and correspondence
• Identify claim issues such as missing documentation, coding errors, or eligibility problems
• Document all follow-up activities and payer responses in the billing system

Requirements

• 2 years of experience in insurance billing related field preferred
• Proficiency in Microsoft Office
• Excellent verbal and written communication skills
• Strong analytical skills
• Solution oriented mindset
• Ability to multi-task
• Ability to work both individually and as a team

About the Company

TVG-Medulla, LLC is a multi-site healthcare management organization providing managed services to chiropractic providers. Medulla supports brands like Chiro One, MyoCore, and CORE Health Centers with billing, IT, HR, and finance services.