Claims Processing Specialist
Full Time, Days
Submits HCFA 1500 claim forms (electronic and paper) to third-party carriers in an accurate and timely manner. Ensures that claims meet billing guidelines for assigned carriers. Maintains tracking system to ensure claims submission to carrier billing requirements, and assists in changes to system and manual billing processes. Ensures that supporting documentation is provided at time of claim submission to facilitate timely reimbursement.
- High school diploma or GED.
- Some college preferred.
- Minimum of one (1) year in medical billing environment; two (2) to three (3) years preferred.
- IDX experience preferred.
- Knowledge of accounts receivable practices, medical business office procedures and third-party payer billing and reimbursement procedures and practices.
- Skill in using automated A/R billing system—IDX preferred.
- Skill in using computer and calculator.
- Ability to examine documents for accuracy and completeness and to prepare claims and other records according to detailed instructions.
MedStar Georgetown University Hospital is an Equal Opportunity Employer and is committed to equal opportunity for all candidates for employment and employees.
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