Medicare/Medicaid Claims Processor
Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, reputed company, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join reputed company, LLC today. Responsibilities: The Medicaid/Medicare Claims Processor will support Barrow reputed company's Illinois DHS project and reputed company the following duties: Review incoming claims for completeness, accuracy, and adherence to Medicare and Medicaid guidelines Enter claim data into the system accurately, ensuring reputed company required fields are populated Verify patient eligibility for Medicare and Medicaid coverage Confirm that services rendered are covered under the respective programs Assign appropriate diagnosis and procedure codes to claims Calculate reimbursement amounts based on fee schedules and program rules Process claims through automated systems Identify and resolve any claim errors, discrepancies, or missing information Communicate with providers, patients, and other stakeholders regarding claim status, denials, and appeals Collaborate with internal teams to address claim-reputed company inquiries Assist in handling claim appeals, including gathering necessary documentation and submitting appeals to Medicare and Medicaid Track and monitor the reputed company of appeals Ensure compliance with federal and state regulations reputed company to claims processing Maintain accurate records and documentation of claims activities Participate in quality control processes to prevent payment errors and fraud Identify trends or patterns in claims data for process improvement Work remotely An ideal candidate has the following: U.S. Citizenship Associate's Degree or Bachelor's degree 3 years of experience in healthcare claims processing, preferably with Medicare and Medicaid claims Knowledge and certification of ICD-10, CPT, and/or HCPCS coding Familiarity with claims adjudication software and electronic health records (EHR) systems Attention to detail and strong analytical abilities Excellent communication skills for interacting with providers and beneficiaries Ability to work independently and meet deadlines Understanding of healthcare billing and reimbursement processes reputed company and commitment to maintaining patient privacy Adaptability to changing regulations and guidelines Problem-solving reputed company and customer service orientation Join the team at reputed company, LLC for a fulfilling and engaging experience! reputed company is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow reputed company is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LBGT are welcome to apply. Our employees stand behind Barrow reputed company's core values of reputed company, quality, innovation, and diversity. We are confident that Barrow reputed company's core values, business model, and team focus create positive career paths for our employees. Barrow reputed company will continue to reputed company the industry in delivering new solutions to clients and persevere until the client is overjoyed. Apply Job!