Medical Claims Specialist
24 hours ago
This role is designed for a highly organized and detail-focused individual who can accurately process medical claims in a timely manner. The successful candidate will have a strong understanding of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
Main Responsibilities- Claim Processing: Verify correct insurance filing information on behalf of clients and patients, ensuring accurate and efficient claim submission.
- Charge Management: Process medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.
- Follow-up and Resolution: Follow up on unpaid claims within the standard billing cycle time frame and research and appeal denied claims as needed.
- Insurance Knowledge: In-depth knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
- HIPAA Compliance: Ability to handle protected health information in a manner consistent with HIPAA regulations.
The ideal candidate will have excellent communication skills, both written and verbal, and be able to work effectively in a team environment. This role offers a competitive salary and benefits package, as well as opportunities for professional growth and development.
Additional InformationPlease note that this position requires a high level of attention to detail and organizational skills, as well as the ability to work in a fast-paced environment.
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