Medical Claims Specialist
4 weeks ago
Job Summary
We are seeking a highly skilled and detail-oriented Medical Claims Specialist to join our team at Curry Health Network. As a Medical Claims Specialist, you will play a critical role in ensuring timely billing and reimbursement of claims to insurance carriers.
Key Responsibilities:
- Compile and submit claims to insurance companies with zero errors.
- Complete account follow-up daily, maintaining established goals and notifying the business office supervisor of issues preventing achievement of such goals.
- Use reporting system to follow up on inappropriately paid accounts by contacting payers, processing payer correspondence, rebilling, working denials and conducting appeals to obtain the highest possible reimbursement and ensure patient satisfaction.
Requirements:
- High School Diploma or general education degree (GED) is required.
- Medical Biller Certification or prior experience preferred.
- Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers preferred.
Physical Requirements:
This job requires standing, walking, talking, hearing, using hands, reaching with hands and arms, and repetitive use of hands. The typical noise level for the work environment is moderate.
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