Medical Claims Specialist

3 weeks ago


Houston, Texas, United States IASIS Healthcare Full time

Job Summary

We are seeking a highly skilled Medical Claims Specialist to join our team at St. Joseph Medical Center. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely submission of commercial and managed care claims.

Key Responsibilities

  • Review claims for accuracy and completeness before submission
  • Validate and correct claim edits to ensure timely follow-up
  • Submit claims to carriers with accurate remarks and attachments
  • Run insurance eligibility and correct claims as needed
  • Pull supporting documents for annual regulatory audits
  • Ensure credit balances are reviewed and resolved in a timely manner

Requirements

  • High school graduate or equivalent
  • Minimum 2 years of commercial/managed care billing experience in an acute care facility
  • Working knowledge of CPT and ICD10 codes
  • Working knowledge of Federal, State, and Commercial billing guidelines

About Us

St. Joseph Medical Center is a leading healthcare provider in Houston, dedicated to delivering world-class care to our community. We are committed to diversity, equity, and inclusion in all our employment practices.



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