Medical Claims And Denial Specialist

We are hiring a Medical Claims and Denial Specialist for our New Brighton office!

We take pride in creating an inclusive and diverse workplace.

We offer exceptional training and development, career growth opportunities and exciting projects that challenge and expand your skills daily!

Full Benefits!

Job Duties/Description:

• Reviews claims for accuracy prior to claim submission
• Ensures the required supporting documentation is on file prior to claim submission
• Identifies and resolves claim rejections
• Identifies and resolves claim denials
• Maintains a working knowledge of the payer appeals process
• Mark accounts for no bill when irregular conditions cannot be resolved before billing/timely filing date
• Identification and recommendation for resolution for payer trends preventing or delaying payment working with management to resolve
• Provides recommendations for continued improvement to the billing process

Requirements:

• High school diploma and 1-3 years of medical billing experience
• Detail oriented individual with medical billing and collections experience
• Experience billing commercial insurance, Medicare parts B and C as well as Medicaid claims
• Intermediate technical skills
• Proficient with Microsoft Office
• Excellent verbal and written communication skills

All qualified applicants will receive consideration for employment without regard torace, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status.We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.