Medical Claims Specialist

13 hours ago


Reston, Virginia, United States Normann Staffing Services Full time

Pathology Billing Opportunity

Normann Staffing Services is seeking a skilled Medical Claims Specialist to join their team in Ramsey, NJ. As a key member of the Revenue Cycle Management Department, you will play a crucial role in ensuring timely payment of medical claims.

Key Responsibilities:

  • Navigate claim submission and payee websites to resolve filing issues and research payment status.
  • Communicate with insurance companies to resolve denials and improper reimbursement.
  • Apply payer requirements for submission of reconsiderations, appeals, and medical records.
  • Maintain knowledge of coverage policies and medical necessity requirements of insurance carriers.
  • Research and resolve billing issues raised by patients.

Requirements:

  • High school diploma or equivalent required.
  • 3 years or more in a similar role required.
  • Laboratory experience preferred.
  • Laboratory billing experience preferred; knowledge of TELCOR a plus.

What We Offer:

A dynamic and growing pathology company with a great opportunity to grow your career. If you are a detail-oriented and organized individual with excellent communication skills, we encourage you to apply for this exciting opportunity.



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