Position Details
About this role
Remote claims processing role handling insurance claims with ICD coding, CPT/HCPCS, and DRG classifications; verify coverage and ensure accurate billing under Medicare and Workers' Compensation policies.
Key Responsibilities
- Review and process claims with accurate coding
- Verify insurance coverage
- Organize medical records
- Ensure timely submission
- Address discrepancies and denials
Technical Overview
Familiarity with medical terminology, ICD coding updates, HCPCS changes, and HIPAA; use of financial software for claims processing.
Ideal Candidate
Entry-level claim specialist with strong clerical skills and basic knowledge of ICD coding, CPT/HCPCS, DRG classifications, and Medicare/Workers' Comp policies; capable of handling insurance verification and claims processing remotely.
Must-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Industry & Role
Keywords for Your Resume
Deal Breakers
No healthcare experience, Lack of familiarity with medical coding or claims processing, Lack of ability to work remotely
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