Claims Specialist Position for Medical Billing Expert

2 weeks ago


Wheat Ridge, Colorado, United States MassGenics Full time

Innova Solutions is seeking a highly skilled Claims Specialist to join our team. This role requires the candidate to work closely with insurance companies to resolve denied claims related to provider credentialing.

Job Description:
  • Billing: Review denied claims, interact with payers to determine true reasons for denial, and collaborate with internal and external stakeholders to ensure necessary corrections are submitted timely and accurately.
  • Credentialing: Complete credentialing and re-credentialing applications to add providers to Medicare, Medicaid, and Commercial Payers, maintain accurate and up-to-date provider profiles on CAQH, PECOS, NPPES, and CMS databases.

The ideal candidate will have 2+ years of experience in healthcare and medical billing/revenue cycle, with strong analytical and problem-solving skills. A Bachelor's degree is preferred, but an Associate's degree or equivalent experience is required.

We offer a competitive salary range of $55,000 - $62,000 per year, based on education and experience. Additional benefits include medical, dental, and vision insurance, 401(k), health savings account (HSA), flexible spending account (FSA), life insurance, pet insurance, short-term and long-term disability, accident and critical illness coverage, prepaid legal and ID theft protection, sick time, and other paid leaves.

About Innova Solutions: We are a leading technology and business transformation solutions company, employing approximately 50,000 professionals worldwide. Our global delivery centers across North America, Asia, and Europe enable us to deliver strategic solutions to our clients.



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