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Billing/Claims Management Specialist
Location:
Klamath Falls, OR
Description:
Claims Management Specialist Position Summary: The Billing/Claims Management Specialist is responsible for the accurate and timely filing of claims to commercial, government, and contracted payers. The Claims Management Specialist works claim edits within billing software timely and accurately, ensuring correct filing of insurance claims. The Claims Management Specialist must understand and comply with federal and state billing regulations. This position represents Klamath Orthopedic Clinic and the Business Office team by adhering and upholding the highest quality service. They will support their co-workers, engage in positive interactions, and provide helpful assistance in anticipating and responding to the needs of our customers. Core Responsibilities: Prepare and process insurance claims timely and accurately to government, commercial and managed care payers. Review and distribute corrected claims. Enter appropriate account notes in billing system to clarify actions taken to reconcile claims. Resolve claim edits via claim edit work queues and/or our external billing software Correct OHP claims. Correct Medicare claims Verify eligibility for coverage via multiple payor websites Assure compliance with billing requirements for workers compensation and third-party liability claims. JOB REQUIREMENTS: Education Minimum: High School Diploma or equivalent Preferred Associate's Degree in Business, Finance, Health Information Management, or a related field Work Experience Minimum One (1) year of experience in an insurance, finance, medical, hospital, or customer service related field. Preferred Revenue Cycle (healthcare business, financial or insurance) experience. Cerner experience a plus Knowledge of medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500) Job Posted by ApplicantPro
Company:
Klamath Orthopedic Clinic
Posted:
December 27 2023 on ApplicantPool
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More About this Listing: Billing/Claims Management Specialist
Billing/Claims Management Specialist is a Executive Manager Job at Klamath Orthopedic Clinic located in Klamath Falls OR. Find other listings like Billing/Claims Management Specialist by searching Oodle for Executive Manager Jobs.
Billing/Claims Management Specialist is a Executive Manager Job at Klamath Orthopedic Clinic located in Klamath Falls OR. Find other listings like Billing/Claims Management Specialist by searching Oodle for Executive Manager Jobs.