Medical Claims Specialist

6 days ago


Troy, Alabama, United States Troy Regional Medical Center Full time
Job Summary

At Troy Regional Medical Center, we are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in preparing, submitting, and following up on insurance claims to ensure timely reimbursement for our patients.

Key Responsibilities:

  • Prepare and submit insurance claims in a timely and accurate manner
  • Communicate with patients and insurance companies to resolve billing discrepancies
  • Reconcile and investigate claims/bills to ensure accuracy and compliance
  • Utilize electronic billing systems to streamline the claims process
  • Collaborate with healthcare providers to obtain necessary documentation and information

Requirements:

  • High School diploma or equivalent required
  • Previous experience in healthcare and familiarity with electronic billing systems preferred
  • Knowledge of CPT and ICD-9 and ICD-10 coding systems desirable
  • Excellent Excel and customer service skills required

Preferred Qualifications:

  • Knowledge of Medicare and/or Blue Cross payor systems and processes


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