PrideStaff | Job Details

Job Details

« Back to Search Claims Specialist - Medicare & Medicaid
Louisville, KY

Salary: $17-$20
Date Posted: February 22, 2018
Job Type: Temporary to Hire
Job ID: 298473

Job Description

Join one of the fastest growing healthcare organizations in Louisville. You would be involved with a team that will double in size by the end of this year, as well as participate in a relocation to their new corporate headquarters. The career opportunities are real and are being scooped up quickly because that is what we do for our clients. If you are a top performer, don't hesitate to forward your information & have a conversation with us about the opportunities within this fast growing company.

Our client has procured our expertise to partner with them in a very significant way.  Our job is to find, recruit, and acquire talent for their rapidly growing business needing a new Full-Time Claims Analyst with direct experience in the Medicare and Medicaid insurance for submission of clean and timely patient claims.  

Your experience & role will include the following:

  • review assigned reports & correct claims that are on hold or rejected
  • monitor reports for delinquent accounts
  • perform insurance verification to determine coverage
  • insurance follow up to identify reason for non-payment
  • take action to have claim paid & respond promptly to inquiries, concerns & problems related to billing
  • Improve revenue cycle with daily focus
  • direct experience UB & 1500 electronic & hard copy billing forms and filing requirements


REQUIREMENTS:

  • CPT/HCPCS/UB04 revenue coding, modifiers, and billing regulations, documentation standards, fee schedules, third party billing and documentation standards.
  • Strong computer skills with knowledge of Microsoft Outlook, Word, Excel and practice management systems.
  • An overall knowledge of functions of medical offices/hospitals, understanding of compliance, knowledge of various payment systems, skill in researching and resolving problems and issues
  • Excellent interpersonal skills and experience interacting with personnel (clinical staff and finance/management/administration)
  • Excellent written and oral communication skills