
Medical Claims Specialist
8 hours ago
Job Overview
We are seeking a highly skilled Medical Claims Specialist to join our team. In this role, you will be responsible for submitting and following up on medical claims with insurance companies to ensure timely payment for services rendered by healthcare providers.
Key Responsibilities:
- Verify patient insurance coverage and benefits
- Prepare and submit accurate billing data in compliance with regulations
- Review patient bills for accuracy and completeness, ensuring no errors or discrepancies
- Analyze and apply denials and appeal procedures appropriately, escalating issues as needed
- Communicate effectively with patients, colleagues, and insurance companies to resolve billing issues
Required Skills and Qualifications:
- Proficiency in medical terminology and ICD-10 coding, with strong understanding of billing regulations
- Experience in handling medical claims and working with Medicare, Medicaid, and private insurance
- Excellent analytical, problem-solving, and communication skills, with ability to work independently and collaboratively
- Strong organizational and time management skills, with attention to detail and ability to meet deadlines
What We Offer:
This is an exciting opportunity to join a dynamic team and contribute to the success of our organization. As a Medical Claims Specialist, you will have the chance to develop your skills and expertise while working in a fast-paced, remote environment. If you are a motivated and organized individual with a passion for medical billing, please consider applying for this role.
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