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Payment Specialist

2 months ago

Akron, Ohio, United States VirtualVocations Full time
Payment Integrity Specialist Key Responsibilities
  • Investigate Electronic Remittance Advices (ERA)/835 issues with clearinghouses and payers
  • Coordinate outreach to obtain missing information for payment application and recoupments
  • Analyze denial trends and validate claim supporting documentation to inform processes
Required Qualifications
  • Bachelor's degree or equivalent experience
  • Experience in health insurance with claims processing, billing, or reimbursement
  • Familiarity with 1500 claim forms and DMEPOS services
  • Knowledge of ICD-10, HCPCS, and CMS guidelines
  • Investigative skills for conducting claims and payment reviews

As a Payment Integrity Specialist at VirtualVocations, you will play a critical role in ensuring the accuracy and efficiency of payment processes. If you have a strong background in health insurance and claims processing, and are skilled in investigating and resolving payment issues, we encourage you to apply for this exciting opportunity.