Medical Claims Specialist

6 days ago


Phoenix, Arizona, United States LHH Recruitment Solutions Full time
Job Overview

LHH Recruitment Solutions is a leading recruitment agency in the healthcare industry, currently seeking a Medical Claims Specialist to join our team in Phoenix, AZ.

This is a full-time, in-office position, Monday-Friday, with an estimated salary range of $18.00 to $23.00 per hour.

Responsibilities
  • Gather and compile patient information, medical codes, and documentation to prepare accurate claim forms for submission to insurance companies or government payers.
  • Verify patient insurance coverage to ensure eligibility, benefits, and any pre-authorizations or referrals requirements.
  • Review medical records to guarantee accurate coding and documentation of diagnoses, procedures, and services provided.
  • Monitor submitted claims and follow up on processing and payment status.
  • Analyze claim denials or rejections, identifying reasons for denial and taking appropriate actions to appeal or resubmit claims for reimbursement.
Qualifications
  • At least 3 years of experience in Medical Billing
  • High School Diploma or equivalent
  • Familiarity with CPT and HCPCS codes
  • Understanding of Medicare, Medicaid, and HIPAA guidelines

We offer a competitive benefits package, including medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401K plan. Our associates may be eligible for paid leave, including Paid Sick Leave, as well as Holiday pay where applicable.

We are an Equal Opportunity Employer/Veterans/Disabled and consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws.



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