Medical Claims Data Specialist

4 weeks ago

Bedford, United States LogixHealth Full time

Location: Bedford, MA; Hybrid in Bedford, MA

This Role:

As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal teams to provide cutting-edge solutions that will directly improve business operations. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to ensure timely filing of insurance carrier claims, bank file retrieval, statement processing, accurate Explanation of Benefits (EOB) filing, and 835 retrieval.

The ideal candidate will have strong technical skills, excellent interpersonal communication, and a desire to learn.

Key Responsibilities:

  • Run validations in the Ntierprise software system on claims data to ensure billing integrity
  • Electronically matching insurance payments to the correct practice in Allscripts PM
  • Review Insurance Carrier Reports to resolve discrepancies or incomplete claims
  • Reconcile electronic payments
  • Access and store EOBs and related documents into the Touch Chart filing software system

Qualifications:

To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.

Required:

  • 10 key pad orientated
  • Ability to work in a fast-paced environment
  • Proficiency with MS 365 including Teams, Word, Excel, and Outlook
  • Adaptable to learn new software
  • Excellent written and verbal communication skills

Preferred:

  • One to two years related experience with prior experience of EDI operations
  • Ability to work independently

Benefits at LogixHealth:

We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events.

About LogixHealth:

At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.

Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.

At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.

To learn more about us, visit our website

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