Medical Billing Claims Specialist

5 days ago


Cherry Hill, New Jersey, United States Insight Global Full time
Job Title: Medical Billing Claims Specialist

Overview:

The Medical Billing Claims Specialist will play a critical role in the revenue cycle of our healthcare client located in Cherry Hill, NJ. This individual will be responsible for reviewing medical coding charts and documentation to ensure accuracy before claim submissions.

Responsibilities:

  • Making claim edits before submission to payers, including reviewing charts and documentation for accuracy
  • Monitoring claim status after submission
  • Resolving billing discrepancies and denials/rejections promptly and efficiently
  • Analyzing Explanation of Benefits (EOB) or Remittance Advice (ERA) received from insurance carriers and taking appropriate action according to company guidelines/processes
  • Following up with insurance companies via phone calls or payer portals on denials/payments
  • Identifying trends and researching payer policies/guidelines to provide insights to management
  • Correcting and resubmitting claims
  • Performing data entry and documentation tasks
  • Monitoring accounts receivable follow up work queues/reports

Requirements:

  • Diploma or GED
  • 1+ year of medical billing FOLLOW UP experience (claims edits/submissions)
  • Familiarity with various insurance carriers
  • Knowledgeable in commercial and government payers
  • NThrive experience or EPIC Experience
  • Understanding of Medical Terminology including CPT and ICD-10 Codes
  • Ability to handle 75+ claims daily
  • Excellent communication skills

Estimated Salary Range:

$60,000 - $80,000 per year based on experience and qualifications

About Insight Global:

We are a healthcare staffing agency dedicated to providing top talent to our clients. Our team is passionate about delivering exceptional results and building long-term relationships.



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