Medical Billing Specialist
5 days ago
At ClarisHealth, we are seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for investigating and reviewing medical claims to ensure accurate billing practices and reimbursement policies.
Estimated Salary: $80,000 - $110,000 per year
The ideal candidate will have 5+ years of experience in inpatient acute care hospital itemized bill reviews, high-cost outlier reimbursement, and repricing of allowed charges. A CCS or CIC certification is also required. Additionally, the candidate should have experience with ICD-10-CM and DRG coding.
Responsibilities:
- Investigate, review, and provide coding expertise in the application of billing practices and reimbursement policies within the claim adjudication process through a thorough document review.
- Complete high-quality reviews to ensure accuracy of medical coding and billing practices on itemized bills.
- Generate and maintain rule-based criteria for itemized bill reviews as annual updates occur and client specific requirements are understood.
Benefits:
- Remote-first flexible working environment
- Health insurance, including $0 premium HDHP and $0 deductible PPO options
- Vision, Dental
- Company-paid Telemedicine
- Company-paid Life Insurance
- Company-paid STD
- Voluntary LTD
- Voluntary Life Insurance
- FIRST-DAY COVERAGE for all benefits above
- 401(k) with matching, immediate vesting
- Generous Paid Time Off, including Vacation, Wellness, Floating Holidays, and Volunteer Time Off
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