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Medical Claims Processor

Financial Services

Full Time

Days

08:30-05:00

The Medical Claims Processor primary duties include but are not limited to providing patient and staff support through execution of the following: registration, appointment and claims.

 Duties and Responsibilities

  • Enters claims data into the EMR system while interpreting coding and understanding medical terminology in relation to diagnoses and procedure
  • Registers and analyze claims in the EMR system, including insurance verification and charge entry.  Tracks and requests outstanding claims for assigned departments/facilities
  • Utilizes the EMR system to run required daily/monthly/quarterly reports on charges entered.
  •  Records and maintains complete documentation of activity performed on accounts
  •  Efficiently and accurately processes all types of claims utilizing broad based product or system knowledge to ensure timely payments are generated
  • Records and maintains complete documentation of activities performed on patient accounts
  • Monitors claims to ensure accuracy of CPT, ICD-9, HCPCS coding

Required Education/Required Training:

  • High school degree/ GED required
  • Knowledge of Medical Billing and Coding, CPT and ICD-9 codes

Required Experience:

  • Minimum of one year of medical data entry, patient registration, patient billing, medical records, charge entry and customer service experience

Experience working with underserved or homeless populations preferred. * For correctional position-correctional experience- preferred but not required.