Healthcare Claims Specialist

2 weeks ago


Midlothian, Virginia, United States Accessia Health Full time
Job Title: Healthcare Claims Analyst

At Accessia Health, we are committed to delivering exceptional patient care and services. As a Healthcare Claims Analyst, you will play a vital role in ensuring the accuracy and compliance of patient assistance claims.

Key Responsibilities:
  • Validate patient assistance invoices and claims against organizational guidelines and regulations.
  • Verify patient account information and analyze procedures and diagnoses using CPT and ICD codes.
  • Support the Patient Services department by responding to questions and payment inquiries.
  • Collaborate with clinical personnel to understand program guidelines and requirements.
  • Identify and address errors or discrepancies in claims processing.
Requirements:
  • Minimum 5 years of experience in medical claims processing and data analysis.
  • Proficiency in medical terminology, CPT, and ICD-10 coding, and insurance billing procedures.
  • Possession of relevant certification in medical coding, such as Certified Medical Coder (CMC), or successful completion of a graduate certification program in healthcare.
  • Familiarity with regulatory requirements for medical billing and coding.
Essential Traits:
  • Thorough and detailed-oriented work method.
  • Fiscally responsible mindset.
  • Analytical skills and objective judgment.
  • Problem-solving and analysis skills.
  • Effective communication and collaboration skills.

Accessia Health is an equal opportunity employer committed to diversity and inclusion in the workplace. We encourage qualified individuals from all backgrounds to apply.



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