Medical Claims Specialist
3 weeks ago
Job Title: Medical Claims Specialist
About the Job:
At IASIS Healthcare, we're committed to delivering high-quality patient care. We're seeking a detail-oriented and organized Medical Claims Specialist to join our team.
Key Responsibilities:
- Review claims before submission for missing modifiers, charges, and/or implants
- Validate and make corrections on the UB04 resolving all claim edits before claim submission
- Ensure accurate billing of procedures by validating claim against the coding abstract
- Split inpatient claims as appropriate, per carrier guidelines
- Submit claims to carriers with the appropriate remarks and/or attachments
Requirements:
- High School graduate or equivalent
- Minimum 2-years Medicaid billing experience in an acute care facility
- Working knowledge of Common Procedural Terminology (CPT) and ICD10 Codes
- Working knowledge of Federal, State, and Commercial billing guidelines
Compensation:
The estimated salary for this position is $65,000 - $80,000 per year, depending on experience.
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