Medical Claims Specialist

1 month ago


Decatur, Illinois, United States PrideStaff Full time
Medical Billing and Claims Specialist

We are seeking a highly organized and detail-oriented individual to join our team as a Medical Billing and Claims Specialist. The ideal candidate will have a strong understanding of medical billing procedures, insurance claim processing, and coding practices.

Responsibilities:
  • Review and process medical claims for accuracy and completeness
  • Verify insurance coverage and obtain pre-authorizations as needed
  • Utilize medical coding systems to accurately code and submit claims
  • Follow up on unpaid claims and resubmit as necessary
  • Communicate with patients, healthcare providers, and insurance companies regarding billing and claims inquiries
  • Stay updated on changes in healthcare regulations and insurance policies
Requirements:
  • Proven experience in medical billing and claims processing
  • Proficiency in medical coding (ICD-10, CPT, HCPCS)
  • Familiarity with insurance verification and authorization processes
  • Strong attention to detail and accuracy
  • Excellent communication and interpersonal skills
  • Ability to work efficiently in a fast-paced environment

If you are passionate about healthcare administration and have a strong background in medical billing and claims, we encourage you to apply for this position.



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