Claims Processor
About the role
As a Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to payers. This role is ideal for a detail-oriented professional with a strong understanding of healthcare billing requirements, CPT codes, and ICD codes. You'll be instrumental in achieving financial integrity and supporting the smooth operation of our patient accounting services.
Responsibilities
- Transmit and retrieve electronic patient claims.
- Meticulously review documentation for billing accuracy.
- Resolve claim edits within our billing system and clearinghouse.
- Troubleshoot complex issues related to payer regulations and guidelines to ensure data integrity.
- Maintain strict confidentiality of medical records.
- Actively contribute to the ongoing improvement of our claims processing workflows.
Requirements
- High school diploma with post-additional training in medical billing or business-related fields.
- Ability to maintain current knowledge of industry regulations.
- Strong problem-solving skills to resolve issues impacting revenue.
- Preferred: Graduation from a post-high school program in medical billing or other business-related field.
Skills
- Exceptional attention to detail.
- Excellent communication.
- Capacity to prioritize tasks effectively in a fast-paced healthcare environment.
Where you'll work
From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations, with some clinics offering extended hours.
Pay
$18.96 - $26.78 per hour.