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Medical Claims Specialist

1 month ago


Mesa, Arizona, United States HealthyU Family Medicine Full time
Job Summary

HealthyU Family Medicine is seeking a highly skilled Medical Claims Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for processing claims, identifying and resolving issues, and ensuring accurate revenue is booked.

Key Responsibilities:

  • Properly code services, procedures, diagnoses, and treatments
  • Prepare and send invoices or claims for payment or reimbursement
  • Correct rejected claims and ensure accuracy
  • Track payments and follow up with patients and insurance companies
  • Ensure compliance with internal and external policies and procedures

Requirements:

  • High school diploma or equivalent
  • Minimum 3 years of Athena medical billing experience
  • Familiarity with CPT and ICD-9/10 coding systems
  • Strong written and verbal communication skills
  • Detail-oriented with ability to work independently and prioritize workload

Preferred Qualifications:

  • Coding certificate
  • Bachelor's degree

Work Environment:

  • Typical office environment
  • Must be able to lift up to 15 pounds at a time