Claims Eligibility Specialist

2 weeks ago

Trenton, United States Ohm Systems, Inc Remote Work Freelance Full time $25 - $26
Summary: We are looking for a temporary Claims Eligibility Specialist to join our team under the supervision of the Billing Unit supervisor. The role involves processing fee-for-service claims, handling billing and eligibility inquiries, and performing other billing-related tasks. The ideal candidate will have a solid understanding of medical billing and Medicaid, excellent customer service skills, and strong attention to detail.

Position Info:

  • Title: Claims Eligibility Specialist
  • Client: AmeriHealth Caritas
  • Duration: 3 Months Contract
  • Location: 300 Horizon Drive, Suite 306, Robbinsville, NJ 08691
  • Salary: $26 /Hr
Responsibilities:

  • Adjudicate and process fee-for-service claims accurately.
  • Handle billing and eligibility inquiries from clients and stakeholders.
  • Complete and submit CMS 1500 forms for medical billing.
  • Collaborate with the billing team to ensure timely and accurate claim processing.
  • Provide excellent customer service through clear verbal and written communication.
  • Assist in other billing duties as assigned by the Billing Unit supervisor.
Skills/Qualifications:

  • Required:
    • Knowledge of medical billing, including CMS 1500 completion.
    • Basic understanding of state Medicaid.
    • Typing speed of 40-50 words per minute.
    • Strong verbal and written communication skills.
    • Excellent customer service and time management skills.
    • Detail-oriented and organized team player.
    • Ability to solve problems effectively.
  • Additional:
    • Experience with medical invoicing and billing.
    • Familiarity with content management systems.
    • Skills in adjudicating claims.


About Ohm Systems, Inc:

Ohm Systems, Inc. specializes in IT and Healthcare staffing services, dedicated to linking highly skilled professionals with our public and private clients across the United States. Our track record showcases our commitment to delivering outstanding staffing and consultancy solutions to our clients. We prioritize diversity and inclusivity and take pride in being an employer that promotes equal opportunities and affirmative action. Our goal is to foster an inclusive work environment that embraces individuals from all backgrounds, irrespective of their gender, race, or orientation.

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