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Medical Claims Specialist
3 weeks ago
**Job Overview:**
We are seeking a highly skilled Medical Claims Specialist to join our team at Connext. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and completeness of medical claims.
**Responsibilities:**
- Examine medical claims to ensure they meet regulatory requirements and are accurately submitted to payers.
- Verify health insurance benefits and coverage for patients to ensure timely reimbursement.
- Follow up with payers regarding claim status and outstanding balances to minimize delays.
- Correct and resubmit claims as necessary to ensure prompt payment.
- Maintain detailed documentation of all billing and collections activities.
**Required Skills and Qualifications:**
To be successful in this role, you will need:
- In-depth knowledge of insurance plans, including different types of coverage, eligibility criteria, and medical billing processes.
- Proficiency in medical billing codes and terminologies, including CPT, ICD-10, UB, HCFA, and 837 formats.
- Strong interpersonal and customer service skills, with the ability to communicate effectively with patients, payers, and internal stakeholders.
- Meticulous attention to detail and problem-solving abilities, with a track record of accurately identifying and resolving billing issues.
**Benefits:**
As a valued member of our team, you will enjoy:
- A competitive salary and benefits package.
- Ongoing training and development opportunities to enhance your skills and career progression.
- A dynamic and supportive work environment that values teamwork and collaboration.
