Medical Claims Specialist

2 weeks ago


Reston, Virginia, United States DYNQUEST INC Full time
Job Summary

We are seeking a highly skilled Medical Claims Administrative Specialist to join our team at DynQuest Inc. in Fairfax, Virginia. As a Medical Claims Administrative Specialist, you will be responsible for timely processing and submission of clean medical claims to all payers, including Medicaid, Medicaid Managed, Commercial plans, and patient billing.

Key Responsibilities:

  • Reviews claims for accuracy prior to timely claim filing electronically and using the CMS 1500 paper claim forms.
  • Ensures the required supporting documentation is on file prior to claim submission.
  • Identifies and resolves claim denials and rejections, maintains a working knowledge of the payer's appeals process.
  • General Office duties like answering phones, filing, and general office tasks.
  • Verifying patient eligibility with insurance companies, processing/fulfilling equipment orders.
  • Adherence to established productivity and quality thresholds, company policies, and procedures.

Requirements:

  • High School diploma or higher and 1-3 years of medical billing experience or similar. College degree is a plus.
  • Detail-oriented individual with medical billing and collections experience or equivalent.
  • Durable Medical Equipment, Medical Office, or Pharmacy experience preferred but not required.
  • Experience and ample knowledge of any billing software such as Office Ally, Emdeon, or QuickBooks software preferred but not required.
  • Spanish or other language is not required but a plus.
  • Proficiency with Microsoft Office a plus.

About DynQuest Inc.

DynQuest Inc. is a group of companies specialized in medical equipment & supplies, specialty pharmacy, and home healthcare. As an established community partner, our primary focus is on quality patient care and outstanding professional service—all supported by a network of experienced healthcare professionals and a host of dedicated staff.



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