Medical Claims Specialist
1 week ago
Job Summary
The Medical Claims Specialist at Raleigh Orthopaedic is responsible for daily follow-up of Accounts Receivable, denials and appeals. This role requires strong communication skills to work with patients and insurance carriers to resolve billing and claims issues per individual carrier guidelines.
Key Responsibilities
- Follow up on Accounts Receivable, denials and appeals in a timely manner
- Communicate effectively with patients and insurance carriers to resolve billing and claims issues
- Work with management and supervisors to resolve complex claims issues
- Stay up-to-date with insurance carrier guidelines and coding requirements
Requirements
- Three or more years' experience in medical insurance and billing in a clinic environment
- Knowledge of insurance carrier guidelines with strong understanding of ICD-10, HCPCS and CPT coding
- Experience with insurance software programs such as GE Centricity
- Excellent problem-solving skills, attention to detail and organization skills
Preferred Qualifications
- Coding certification
Working Relationships
The Medical Claims Specialist must be able to work in a cooperative manner and maintain effective working relationships with management/supervisors, co-workers, customers and vendors.
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Medical Claims Specialist
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Raleigh, United States Raleigh Orthopaedic Full timeThe Medical Claims Specialist is responsible for daily follow-up of Accounts Receivable, denials and appeals. Works with patients and insurance carriers to resolve billing and claims issues per individual carrier guidelines.Requires three or more years' experience in medical insurance and billing in a clinic environment. Knowledge of insurance carrier...
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