The Medical Claims Specialist is responsible for daily follow-up of Accounts Receivable, denials, and appeals. Works with patients and insurance carriers to resolve billing and claims issues per individual carrier guidelines.
Minimum Requirements:
- Three or more years’ experience in medical insurance and billing in a clinic environment.
- Knowledge of insurance carrier guidelines with a strong understanding of ICD-10, HCPCS, and CPT coding.
- Experience with insurance software programs such as GE Centricity along with basic computer programs.
- Excellent problem-solving skills, attention to detail, and organizational skills required.
- Ability to exercise good judgment and discretion as well as time management skills.
- Effective verbal and phone communication skills.
- Coding certification preferred but not required.
Must be able to work in a cooperative manner and maintain effective working relationships with management/supervisors, co-workers, customers, and vendors.
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