Job Summary Family Health Care Clinic, Inc. is seeking a detail-oriented and organized Claims Specialist to join our team in Pearl, MS. The ideal candidate will have a strong background in claims processing and an ability to complete tasks in a timely manner. As a Claims Specialist, you will be responsible for reviewing, processing, and managing claims to ensure prompt and accurate resolution. Duties Review and process medical claims using

ICD-9, ICD-10, HCPCS, CPT

coding, and DRG classifications. Verify insurance coverage and benefits for patients, including Medicare and workers' compensation law compliance. Ensure accurate filing of medical records and documentation related to claims. Collaborate with healthcare providers to obtain necessary medical documentation and resolve claim discrepancies. Utilize financial software to track claim status, payments, and denials. Maintain organized records of all claims processed, including detailed notes on claim status and correspondence. Stay updated on current medical billing practices, ICD coding updates, and insurance policies. Skills Proven clerical experience with strong organizational skills. Proficiency in filing, medical documentation, and managing medical records. Knowledge of insurance verification processes and healthcare laws such as workers' compensation law. Familiarity with

ICD-9, ICD-10, CPT

coding, HCPCS, and medical billing/coding standards. Experience with medical terminology and understanding of Medicare policies. Ability to navigate financial software related to claims processing efficiently. Strong attention to detail to ensure accuracy in coding and documentation. Excellent communication skills for coordinating with healthcare providers and insurance companies. This position offers an engaging opportunity for individuals passionate about healthcare administration and claims management within a professional environment committed to accuracy and efficiency.

Job Type:

Full-time Pay:

From $16.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) matching Dental insurance Flexible schedule Health insurance Life insurance Paid time off Retirement plan Vision insurance

Education:

Bachelor's (Required)

Experience:

claims processing: 3 years (Required)

License/Certification:

Medical Coding Certification (Required) Ability to

Commute:

Pearl, MS 39208 (Required)

Work Location:

In person