Medical Claims Examiner

3 days ago


Trenton, New Jersey, United States Ohm Systems, Inc Full time
Job Title: Claims Eligibility Specialist

Job Summary:

We are seeking a highly skilled Claims Eligibility Specialist to join our team at Ohm Systems, Inc. As a Claims Eligibility Specialist, you will be responsible for adjudicating and processing fee-for-service claims, handling billing and eligibility inquiries, and providing exceptional customer service.

Key Responsibilities:

  • Adjudicate and process fee-for-service claims with accuracy and efficiency
  • Handle billing and eligibility inquiries from clients and stakeholders
  • Complete CMS 1500 forms with precision and attention to detail
  • Assist with other assigned billing duties to ensure seamless operations
  • Provide top-notch customer service and support to clients and internal teams

Requirements:

  • Medical billing knowledge, including CMS 1500 form completion
  • Basic knowledge of State Medicaid programs
  • Strong verbal and written communication skills
  • Excellent customer service and time management skills
  • High School Diploma or equivalent
  • Ability to problem-solve and work collaboratively as part of a team

About Ohm Systems, Inc:

Ohm Systems, Inc. is a leading provider of IT and Healthcare staffing services, dedicated to connecting highly skilled professionals with our public and private clients across the United States. We prioritize diversity and inclusivity, promoting equal opportunities and affirmative action. Our goal is to foster an inclusive work environment that values individuals from all backgrounds.



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