Medical Claims Examiner
4 weeks ago
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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