Medical Claims Processor
2 months ago
We are seeking a highly organized and detail-oriented Medical Claims Processor to join our team at Health Matching Account Services. As a Medical Claims Processor, you will play a critical role in reviewing and processing medical claims in a timely and accurate manner.
Key Responsibilities- Claim Review and Processing: Review and process medical claims based on policy provisions and established guidelines.
- Member Communication: Request additional information from members as needed and document fully claims referred to senior staff for review and determination.
- Quality and Productivity: Maintain company production and quality standards, participate in training, and stay updated on healthcare regulations, medical terminology, and coding practices.
- Electronic Health Records and Billing Software: Navigate and maintain electronic health records (EHR) and billing software, posting payments to patient accounts.
- Insurance Company Communication: Call insurance companies for updates on claim status and to clarify billing details.
- Confidentiality and Compliance: Adhere to HIPAA regulations, ensuring patient confidentiality at all times.
- Billing Metrics and Audits: Track, review, and report on billing metrics, trends, and periodic audits to ensure compliance and accuracy.
- Medical Terminology and Coding: Medical terminology, diagnostic and CPT codes.
- Technical Skills: Proficiency with computers and medical billing software, Microsoft Office.
- Communication and Interpersonal Skills: Efficient communication, communication skills with patients/healthcare companies.
- Education and Experience: Medical Billing and Coding Certification, 1+ Years Experience in Medical Billing and Coding.
As a Medical Claims Processor at Health Matching Account Services, you will have the opportunity to work in a dynamic and fast-paced environment, with a team of professionals who are passionate about delivering high-quality healthcare services. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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