National Medical Billing firm looking for full-time Claim Follow-up Specialist. Allscripts/Veradigm PM billing experience is preferred. Must be familiar with the medical claims billing process, medical claims follow-up, insurance payor portals, and claim denial resolution. Other positions and opportunities may be available to highly qualified candidates with specialty-specific experience (Podiatry, Rheumatology/Immunotherapy, Hospitalist, etc.). Medical claims follow-up experience IS A MUST.
We are seeking a detail-oriented and organized Claims Specialist to join our team. The ideal candidate will possess a strong understanding of the Medical Claims process, medical coding, denial resolution, corrected claims, appeals and reconsiderations. This role requires excellent clerical skills and the ability to manage medical claims effectively. The Claims Specialist will be responsible for reviewing clearinghouse rejected claims, payer denied claims, requests for medical records, and general claims follow-up.
Responsibilities:
- Review and work denied insurance claims in accordance with company policies and regulatory requirements.
- Verify the accuracy of medical records and documentation related to claims.
- Utilize knowledge of HCPCS codes to ensure proper coding of services rendered.
- Communicate with healthcare providers, insurance companies, and patients to resolve claim issues.
- Maintain organized files and records for all claims processed.
- Stay updated on changes in Medicare regulations and workers compensation law to ensure compliance.
- Assist in training new staff on claims processing procedures as needed.
Qualifications:
- Strong organizational skills with the ability to manage multiple tasks efficiently.
- Knowledge of medical billing guidelines is preferred.
- Familiarity with HCPCS coding, medical records management, and medical documentation processes.
- Proficient in clerical tasks including filing, data entry, and maintaining accurate records.
- Experience in medical coding is a plus but not required.
- Excellent communication skills, both written and verbal, to effectively interact with various stakeholders.
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
Strong organizational skills Knowledge of medical billing guidelines preferred Familiarity with HCPCS coding, medical records management, and medical documentation processes Clerical skills: filing, data entry, accurate record keeping Experience in medical coding is a plus Excellent communication skills
Dental insurance Health insurance Paid time off Vision insurance
Location
Virginia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago