Claims Resolution Specialist

VirtualVocations
Norcross, Georgia, United States
Full-time

A company is looking for a Claims Resolution Specialist responsible for reviewing Durable Medical Equipment claims for billing accuracy.

Key ResponsibilitiesReview and resolve DME claims while maintaining documentation and account recordsEnsure compliance with legal, regulatory, and internal policies, including HIPAAStay informed on changes in Medicare / State funding procedures and contribute to team goalsRequired QualificationsFamiliarity with 1500 claim forms and DMEPOS servicesKnowledge of ICD-10, HCPCS, and medical terminologyUnderstanding of CMS guidelines and medical policiesAbility to type 45+ words per minuteExperience with Microsoft Word and Excel

6 days ago
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