Claim Specialist / Medical Billing

About the position Responsibilities • Work all assigned claims within specified time period. • Review all assigned claims for correct assignment of ICD-10, CPT, HCPCS codes and modifiers. • Follow protocol when billing selected services and performing specific claim functions. • Maintain knowledge of insurance carrier specific billing requirements and apply to claims as needed. • Maintain knowledge of Correct Coding Initiative (CCI) and familiarity with all major coding resources. • Correct all identified errors on claims prior to submitting. • Correct all returned claim denials assigned to you in a timely manner. • Assist EDI, Insurance, and Customer Service Representatives in resolving claims issues. • Communicate with site administration or providers as needed. • Participate in professional development activities and maintain professional affiliations. • Follow HIPAA guidelines for patient confidentiality and maintain security of Protected Health Information (PHI) and business information. Requirements • Minimum 1-year medical billing and claims processing experience. • High School diploma or GED. • Strong attention to detail and organizational skills. • Strong computer skills and understanding of insurances and healthcare billing. • Knowledge of anatomy, physiology, and medical terminology necessary to correctly review claims for accuracy. Nice-to-haves • Knowledge of eClinical Works preferred. Benefits • Paid parental leave • Paid maternity/paternity leave after 1 year employed and 1,250 hours worked. Apply tot his job Apply To this Job