Medical Claims Specialist

4 weeks ago


Springfield, Illinois, United States Behavioral Health Network Full time

Job Summary: We are seeking a skilled Medical Claims Specialist to join our team at Behavioral Health Network. As a Medical Claims Specialist, you will be responsible for reviewing and submitting accurate claims to all payers for BHN providers.

Key Responsibilities:

  • Effectively manage a portfolio of assigned claim types
  • Update and maintain claim files to ensure complete and accurate records
  • Review claims to ensure that required modifiers and all fields are present before approval
  • Accurately batch and approve assigned claim batches
  • Effectively review and reprocess rejected claims on a daily basis
  • Review the acknowledgment folder daily to verify that acknowledged claims have been accepted

Requirements:

  • 1 year of experience in a similar role
  • Strong analytical and problem-solving skills
  • Ability to work in a fast-paced environment

About Us: Behavioral Health Network is a leading provider of mental health and substance abuse services. We are committed to providing high-quality care to our patients and are seeking a skilled Medical Claims Specialist to join our team.



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