Medical Claims Specialist
18 hours ago
CarepathRx is a leading healthcare company that transforms hospital pharmacies into revenue generators through technology and market-leading services. We are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team.
Job Summary:The Medical Claims Specialist will be responsible for maintaining timely and accurate account receivables claims and systems. This includes verifying patient/claim data, re-submitting denied claims, and following up on all denials within 72 hours of receipt.
Responsibilities:- Verify all data around patient/claim and find out why it has been denied
- Responsible for timely re-submission and accuracy for billing claims
- Responsible for accurate submission of necessary documentation to the insurance companies with claims
- Follow-up on all denials within 72 hours of receipt
- Participate in accurate collection activities and accounts receivable management
- High School diploma or GED
- At least one year experience in medical collections activities
- Must be proficient in Microsoft products including Outlook and Excel
- Health experience is preferred
CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status.
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