Medical Claims Specialist

3 weeks ago


Houston, Texas, United States IASIS Healthcare Full time

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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