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Medical Claims Assessment Specialist
2 months ago
Position Overview:
We are seeking a skilled Claims Review Specialist / Medical Coder to join our esteemed client, a prominent Medical Center affiliated with a leading California Public Ivy university and a major health delivery system in the state.
*** Candidates must have authorization to work in the USA without requiring sponsorship ***
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Key Responsibilities:
- Review and analyze claims to ensure compliance with regulations and guidelines.
- Maintain and verify provider information and contract configurations within managed care transaction systems.
- Utilize coding certifications (CPC, CPCH, AHIMA, etc.) to accurately code medical procedures and diagnoses.
- Demonstrate proficiency in various managed care transaction systems, including EPIC, EZ Cap, Facets, and QNXT.
- Apply knowledge of CPT-4, ICD-9/ICD-10, and HCPCS codes in daily operations.
- Provide exceptional customer service and collaborate effectively with internal and external stakeholders.
- Adhere to detailed data entry protocols with a focus on accuracy in a complex managed care environment.
- Manage multiple tasks efficiently while meeting strict deadlines.
- Utilize Microsoft Excel and Word proficiently, alongside navigating the internet for research and information gathering.
Preferred Qualifications:
- Familiarity with ICD10CM CPT coding.
- Experience with Medicare, Medi-Cal, and Commercial Payers processing.
- Knowledge in managing claims denials effectively.
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We are eager to connect with candidates who align with this role and value a workplace that prioritizes employee well-being and satisfaction.
Company Overview:
Amerit Consulting is a rapidly expanding staffing and consulting firm established in 2002, dedicated to providing comprehensive consulting, temporary staffing, direct hire, and payrolling services to a diverse range of clients, from Fortune 500 companies to local organizations. With a workforce exceeding 2,000 employees across 47 states, we focus on delivering solutions that enhance operational efficiency, improve customer satisfaction, and positively impact our clients' bottom lines. Our commitment to excellence in human capital management has driven our growth into various staffing and consulting services that support our clients' business objectives.
Amerit Consulting is an equal opportunity employer, ensuring a workplace free from discrimination and harassment based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by applicable laws.
This policy encompasses all aspects of employment, including recruitment, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Applicants with criminal histories are considered in accordance with local, state, and federal laws.
