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Medical Claims Specialist


Pay$47724.00 / year
LocationRemote
Employment typeFull-Time

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  • Job Description

      Req#: REQ-0000125779
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Salary up to $68,244 annually
      - Comprehensive benefits package available
      - Opportunity for career advancement and professional growth within a leading healthcare organization
      - Flexible work arrangement with a remote position
      - Supportive and collaborative work environment
      - Chance to make a positive impact on patient account management and billing processes

      What to Expect (Job Responsibilities):
      - Review and route charges to appropriate account types and ensure correct coverage is applied
      - Resolve claim edits and errors, including updating patient registration information and forwarding claims for coding review
      - Process pre-authorization questionnaires and account merge requests in the billing system
      - Continuously evaluate work for trends and recommend improvements to billing edits
      - Research and verify claim information through databases and payer communication

      What is Required (Qualifications):
      - High School graduation or equivalent
      - Minimum of two years of experience in patient accounting, customer service, or a related office environment
      - Familiarity with billing rules and guidelines for healthcare claims
      - Ability to navigate various databases for claim and eligibility verification
      - Strong attention to detail and problem-solving skills

      How to Stand Out (Preferred Qualifications):
      - Experience using EPIC billing systems
      - Knowledge of healthcare insurance processes and regulations
      - Familiarity with medical coding and billing practices
      - Previous experience in a healthcare-related office environment

      #HealthcareServices #ClaimsSpecialist #RemoteWork #CareerOpportunity #ProfessionalGrowth

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

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