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Standard job listing
Title of job: Medical Claims Specialist - Busy Practice!
Job Location: Charleston, South Carolina, 29406
Job Type: Contract to Hire
Price Range:
Negotiable, Depending on experience
Start Date:
ASAP
End Date:
Not a pressing concern
Categories:
# Section Category Subcategory
#1 Health Care Health Care Administration
Qualifications:
,

Other desired skills:
,
Job/Project Details: We are looking for a Medical Claims Processor. Main duties will include adjudicate claims in accordance with health plan guidelines, company standards, and company procedures, and review claims for appropriate information and accurate reimbursement. The Medical Claims Processor will also be responsible for prioritizing and managing individual work flow as needed and maintain complete and update set of resource materials necessary for processing claims. Other duties will be to attend all company-mandated training and remain current with knowledge in the claims field, assist with data entry of claims, and assist with other duties as assigned Qualifications: * Must have a High school diploma or GED. * 3-4 years of claims processing (AHCCCS preferred) * Knowledge in CPT and ICD-9 codes and medical terminology * Experience in Medicaid and Medicare guidelines. * Process all HCFA and UB claims. * Analytical skills to resolve complex claims. * Multi-tasked and the ability to identify and trend processing/billing issues. * Must be organized with a positive attitude. * Ability to work as a team player in a professional environment. * Communicate effectively and tactfully in both oral and written form.df-jb

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