Medical Claims Specialist

12 hours ago


New Orleans, Louisiana, United States Tulane University Staff Full time
Job Summary

We are seeking a highly skilled Medical Claims Specialist to join our team at Tulane University Medical Group. In this role, you will be responsible for representing physicians in the realization of all appropriate reimbursement for medical services rendered to patients.

Key Responsibilities
  • Support the billing and collection activities under the direction of the Supervisor, Manager, and/or Director.
  • Work in association with all areas of the Tulane University Medical Group Business Services, partners, Tulane University Hospital and Clinic Staff, and other internal and external persons.
  • Responsible for initial billing, claim follow-up, resolution of rejected claims, claim edits resolution, handling of special accounts, and keeping management informed of trends, updates, and unusual or urgent issues.
  • Promote an environment of high productivity and job satisfaction; perform in a leadership role, provide assistance to team members when necessary.
Requirements
  • Familiar with governmental billing rules and regulations and other third-party billing.
  • Experience with personal computers, word processing (Microsoft Office skills).
  • Excellent oral and written communication skills.
  • Ability to work independently and meet deadlines.
  • Well-developed judgment and decision-making abilities.
  • High School Diploma or equivalent.
  • Minimum 5 years of experience in a physician's billing office.
  • Knowledge of group medical practice preferred.
  • Experience with compiling and analyzing data.
  • Knowledge of IDX physician billing software is a major asset.


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