Medical Claims Specialist
hace 4 días
Job Summary:
We are seeking a highly skilled Medical Claims Specialist to join our team. The ideal candidate will have a strong understanding of insurance terminology, policies, and procedures.
About the Role:
The Medical Claims Specialist will be responsible for accurately processing insurance claims submitted by healthcare providers on behalf of their patients. This includes verifying patients' insurance coverage, recoding, and resubmitting claims electronically or via paper forms, and ensuring that all necessary documentation is attached.
Key Responsibilities:
Accurately process insurance claims submitted by healthcare providersVerify patients' insurance coverage and eligibilityMonitor the status of claims and address any issues or rejectionsCommunicate with insurance companies and provide additional documentation or informationMaintain proper documentation of all insurance-related activities and ensure compliance with regulatory requirementsRequirements:
To be successful in this role, you will need a strong analytical skills to review and interpret insurance policies, coding guidelines, and reimbursement rules. You should also be proficient in medical billing and medical coding systems such as ICD-10 and CPT.
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