Medical Claims Examiner

4 weeks ago


Tecumseh, Ontario, Canada Watson Clinic Full time
Job Title: Reimbursement Coordinator

About the Role:

We are seeking a highly skilled Reimbursement Coordinator to join our team at Watson Clinic. As a key member of our healthcare team, you will be responsible for ensuring accurate and timely reimbursement for our patients.

Key Responsibilities:

  • Supervise and train staff to meet productivity and quality standards
  • Process electronic submission exception reports and verify confirmations on daily transmissions
  • Identify and correct errors in claims processing
  • Work with third-party denials and appeals to resolve disputes
  • Review and monitor claims and cases within the department
  • Maintain comprehensive knowledge of Clinic contracts, carrier-specific, State or Federal governmental, HCFA, or CPT billing and reimbursement guidelines

Requirements:

  • High School graduate or equivalent
  • Certified Professional Coder Certification (CPC)
  • Two to three years' experience in a medical business office or related field
  • Experience with claims adjudication process for multiple governmental agencies and private insurance carriers
  • Current CPT and ICD10 coding knowledge and basic medical terminology

What We Offer:

Watson Clinic offers a dynamic and supportive work environment, competitive compensation and benefits package, and opportunities for professional growth and development.



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