Healthcare Claims/Medical Claims Specialist

3 weeks ago


West Allis, Wisconsin, United States Children's Wisconsin Full time

About the Role:

Children's Wisconsin is seeking a skilled Claims Submission Representative to join our team. As a Claims Submission Representative, you will be responsible for the submission of all paper and electronic claims, including primary, secondary, and specialty claims.

Key Responsibilities:

  • Submit all paper and electronic claims in a timely and accurate manner
  • Correct billing, charging, and registration edits
  • Work independently with minimal supervision
  • Proficient in Microsoft Office applications and technology skills required to perform duties

Requirements:

  • High School graduate or equivalent
  • Working knowledge of medical terminology, ICD-9, CPT, and HCPCS level II codes
  • 2 years of experience in billing and/or claims follow-up, HCFAs, and/or UB-04s (preferably in a hospital setting)
  • Ability to work independently with minimal supervision

What We Offer:

  • Normal office environment with no reasonable potential for exposure to blood or other high-risk body fluids
  • Remote work opportunity
  • Equal opportunity/affirmative action employer

About Children's Wisconsin:

Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services, and family resource centers.



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