Claims Processing Representative
JOB
Summary:
Edits all healthcare claims for accurate submission according to local and federal regulations.
Meets individual quality and quantity performance goals and expectations.
Assists the department in meeting performance goals.
Imports, edits, corrects and transmits claims to third party payers on a daily basis.
Prepares daily claims submission tracking and error reports.
Assists in implementing billing system upgrades.
Information and claim resolution and correction.
REQUIREMENTS:
Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field.
A minimum of 1 year of account follow up experience in a multi-payer hospital setting required.
Previous computer experience in a hospital or healthcare environment required.
Experience with billing, basic regulations and key functions of billing via a billing application and clearinghouse and knowledge of payer requirements
1-3 years of experience.
KEY WORDS:
Billing Claims Processing Patient Accounting Commercial HMO CMOPOTENTIAL TO WORK REMOTELY AFTER 6 TO 9 MONTHS OF PROVEN PRODUCTIVITY!! POSITION LOCATED IN TIMONIUM BUT RELOCATING TO OWINGS MILLS IN 2022.
Estimated Salary: $20 to $28 per hour based on qualifications.
Summary:
Edits all healthcare claims for accurate submission according to local and federal regulations.
Meets individual quality and quantity performance goals and expectations.
Assists the department in meeting performance goals.
Imports, edits, corrects and transmits claims to third party payers on a daily basis.
Prepares daily claims submission tracking and error reports.
Assists in implementing billing system upgrades.
Information and claim resolution and correction.
REQUIREMENTS:
Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field.
A minimum of 1 year of account follow up experience in a multi-payer hospital setting required.
Previous computer experience in a hospital or healthcare environment required.
Experience with billing, basic regulations and key functions of billing via a billing application and clearinghouse and knowledge of payer requirements
1-3 years of experience.
KEY WORDS:
Billing Claims Processing Patient Accounting Commercial HMO CMOPOTENTIAL TO WORK REMOTELY AFTER 6 TO 9 MONTHS OF PROVEN PRODUCTIVITY!! POSITION LOCATED IN TIMONIUM BUT RELOCATING TO OWINGS MILLS IN 2022.
Estimated Salary: $20 to $28 per hour based on qualifications.
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