Insurance Claim Specialist
WVU Medicine
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Managing patient account balances including accurate claim submission
- Compliance with all federal/state and third party billing regulations
- Timely follow-up and assistance with denial management
- Submits accurate and timely claims to third party payers
- Resolves claim edits and account errors prior to claim submission
- Adheres to appropriate procedures and timelines for follow-up with third party payers
- Gathers statistics, completes reports and performs other duties
- Organizes and executes daily tasks in priority to achieve optimal productivity
- Monitors accounts to facilitate timely follow-up and payment
Requirements
- High School diploma or equivalent
- One (1) year medical billing/medical office experience
- Excellent oral and written communication skills
- Working knowledge of computers
- Knowledge of medical terminology preferred
- Knowledge of business math preferred
- Knowledge of ICD-10 and CPT coding processes preferred
Benefits
- Excellent customer service
- Oral and written communication skills
- Completion of reports and clerical duties as needed
- Education programs for job and personal growth
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingclaim submissiondenial managementICD-10 codingCPT codingbusiness mathreportingstatistical analysis
Soft Skills
communicationorganizationtime managementproblem-solving