Claim Specialist / Medical Billing
About the position
Responsibilities
• Work all assigned claims within specified time period.
• Review all assigned claims for correct assignment of ICD-10, CPT, HCPCS codes and modifiers.
• Follow protocol when billing selected services and performing specific claim functions.
• Maintain knowledge of insurance carrier specific billing requirements and apply to claims as needed.
• Maintain knowledge of Correct Coding Initiative (CCI) and familiarity with all major coding resources.
• Correct all identified errors on claims prior to submitting.
• Correct all returned claim denials assigned to you in a timely manner.
• Assist EDI, Insurance, and Customer Service Representatives in resolving claims issues.
• Communicate with site administration or providers as needed.
• Participate in professional development activities and maintain professional affiliations.
• Follow HIPAA guidelines for patient confidentiality and maintain security of Protected Health Information (PHI) and business information.
Requirements
• Minimum 1-year medical billing and claims processing experience.
• High School diploma or GED.
• Strong attention to detail and organizational skills.
• Strong computer skills and understanding of insurances and healthcare billing.
• Knowledge of anatomy, physiology, and medical terminology necessary to correctly review claims for accuracy.
Nice-to-haves
• Knowledge of eClinical Works preferred.
Benefits
• Paid parental leave
• Paid maternity/paternity leave after 1 year employed and 1,250 hours worked.
Apply Now
Apply Now
Responsibilities
• Work all assigned claims within specified time period.
• Review all assigned claims for correct assignment of ICD-10, CPT, HCPCS codes and modifiers.
• Follow protocol when billing selected services and performing specific claim functions.
• Maintain knowledge of insurance carrier specific billing requirements and apply to claims as needed.
• Maintain knowledge of Correct Coding Initiative (CCI) and familiarity with all major coding resources.
• Correct all identified errors on claims prior to submitting.
• Correct all returned claim denials assigned to you in a timely manner.
• Assist EDI, Insurance, and Customer Service Representatives in resolving claims issues.
• Communicate with site administration or providers as needed.
• Participate in professional development activities and maintain professional affiliations.
• Follow HIPAA guidelines for patient confidentiality and maintain security of Protected Health Information (PHI) and business information.
Requirements
• Minimum 1-year medical billing and claims processing experience.
• High School diploma or GED.
• Strong attention to detail and organizational skills.
• Strong computer skills and understanding of insurances and healthcare billing.
• Knowledge of anatomy, physiology, and medical terminology necessary to correctly review claims for accuracy.
Nice-to-haves
• Knowledge of eClinical Works preferred.
Benefits
• Paid parental leave
• Paid maternity/paternity leave after 1 year employed and 1,250 hours worked.
Apply Now
Apply Now