Medical Claims Specialist

2 weeks ago


Kansas City, Missouri, United States Medical Recovery Services Full time
Job Title: Medical Biller

We are seeking a highly skilled Medical Biller to join our team at Medical Recovery Services. As a Medical Biller, you will play a critical role in ensuring the accurate and timely submission of medical claims to third-party payers.

Responsibilities:
  • Utilize various billing systems and clearinghouses to perform data entry and prepare hospital and physician bills for submission to third-party payers.
  • File hospital and physician claims and work accounts receivable (UB04/1450/1500) on primary and secondary third-party payers, including Medicare, Medicaid, Commercial, Auto Liability, and Work Comp claims.
  • Identify and correct system edits preventing successful electronic filing.
  • Practice proactive denials management and communicate with third-party payers to resubmit rejected or denied claims.
  • Correct errors and resubmit all unprocessed, rejected, or returned claims.
  • Work A/R reports to follow up on unpaid claims and submit paper claims as required.
  • Prepare and submit 1st and 2nd level appeals as necessary.
Requirements:
  • 2-3 years of prior hospital billing experience.
  • Thorough understanding of claims processing and medical code sets.
  • Thorough understanding of A/R follow-up process.
  • Knowledge of standard industry health plan structures.
  • Proficiency in MS Office.
  • Experience billing from Epic and/or Cerner.

We offer a competitive salary and benefits package to the right candidate. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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