Medical Claims Specialist

5 days ago


Columbus, Ohio, United States RemX Full time
Job Title: On-Site Medical Claims Case Manager

RemX is seeking a highly skilled and detail-oriented Medical Claims Case Manager to join our dynamic team. As an On-Site Medical Claims Case Manager, you will be responsible for reviewing and processing medical claims submitted by healthcare providers, verifying claim information, and communicating with providers, insurance companies, and patients to resolve discrepancies.

Key Responsibilities:
  • Review and process medical claims submitted by healthcare providers.
  • Verify claim information and ensure it aligns with patient records and insurance policies.
  • Communicate with providers, insurance companies, and patients to resolve discrepancies.
  • Investigate and analyze claim denials or rejections and take appropriate actions to rectify issues.
Requirements:
  • Proven experience in medical claims processing or a similar role.
  • Strong knowledge of medical terminology, coding, and billing practices (ICD-10, CPT, HCPCS).
  • Proficiency with medical billing software and MS Office Suite.
  • Great work attitude and willingness to help others.
Why Work with RemX?
  • Competitive pay and benefits package.
  • Opportunities for growth and professional development.
  • Collaborative and dynamic work environment.
  • Flexible hours and work-life balance.

RemX is an equal opportunity employer and welcomes applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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