Medical Claims Reimbursement Specialist

1 day ago


Benton Harbor, Michigan, United States Riverwood Center Full time
About the Role

Riverwood Center is seeking a skilled Medical Claims Reimbursement Specialist to join our team. As a key member of our staff, you will play a critical role in ensuring the smooth processing of medical claims and benefit rate verification.

Responsibilities
  • Process and verify medical claims in a timely and accurate manner.
  • Assist external providers with data entry and verification, and balance claims reports.
  • Collaborate closely with internal staff and external providers to ensure seamless communication and efficient claim processing.
Requirements
  • Associate degree or 5+ years of equivalent experience in medical claims processing or a related field.
  • Proven experience in processing and billing medical claims or working in an accounting/reimbursement position.
  • Experience in a Managed Care environment is a plus.
What We Offer
  • Fourteen (14) holidays per year.
  • Twenty (20) PTO days.
  • A defined benefit pension plan.
  • Outstanding health, vision, and dental insurance.
  • Life insurance.
  • Short- and long-term disability coverage.
  • Flexible spending accounts.
  • A strong work-life balance.
  • An employee assistance program.
  • Generous continuing education opportunities.
  • YMCA 360 membership.
  • Flexible work schedules.
  • Full administrative support.


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