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Claims Specialist / Adjuster / Examiner
Corpus Christi, TX
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Medical Claims A/R Specialist Pulmonary Bill, LLC Corpus Christi, TX Job Details Full-time $15 - $17 an hour 1 day ago Qualifications Medicare Medical insurance coverage verification Medicaid health insurance ICD-10 Medicare regulations Attention to detail Medical billing and coding communication with insurance companies Patient billing Centers for Medicare & Medicaid Services (CMS) billing regulations Medical explanation of benefits reviews Medicaid regulations Medical claims submission Medicaid Medical claim status updates Time management
Full Job Description Job Description:
NOT A REMOTE POSITION
Must have 2-3 years medical background working medical claims
Review & work Insurance aging reports
Good understanding of medical insurances EOB's Know the WPS's Denial Remark Codes and how to resolve Assess claims with timely filing deadlines Appeals, sending medical records Call Payers for claims' status Note the following requirements: Must have strong telephone skills with healthcare insurance companies Must have at least 2 years' experience scrubbing healthcare claims
Must be familiar with CPT and ICD-10 codes
Must be familiar with Medicare & Medicaid claims processing rules Must have knowledge of Medicare & Medicaid replacements Must have time management skills (Follow Up) Must be organized and pay attention to details Must have knowledge of using Insurance web portals for eligibility & claim status.
(Trizetto, Availity, TMHP etc.... web portals) Knowledge of EClinical Works practice management is a plus.