Medical Claims Specialist

1 month ago


Bergenfield, New Jersey, United States Atrium Staffing Full time

A career opportunity exists for a Medical Claims Specialist to join our client's team in Bergenfield, NJ. This role involves working in a supportive environment and contributing to the company's ongoing success. The estimated salary range for this position is $28/hour, depending on experience.

Position Overview

The Medical Claims Specialist will be responsible for handling Medicare claim denials, submitting appeals, and ensuring accurate coding and compliance using Epic software.

  • Process and resolve Medicare denials and appeals, focusing on medical necessity and coding compliance
  • Utilize Epic software to manage Workqueues (WQs) and track claim status
  • Review and analyze Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)
Qualifications

To be considered for this role, candidates should have at least 4 years of experience in Medicare billing, denials, and appeals processes. Proficiency in Epic software is also required.

Benefits

Our client offers a competitive benefits package, including a health care plan, discount programs, and paid time off, upon eligibility.



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