CRT Claims Examiner

A company is looking for a CRT Claims Examiner. Key Responsibilities Appeal or correct CRT claims in compliance with Medicare, Medicaid, and commercial insurance guidelines Verify coding accuracy and ensure all required documentation is included with claims Track outstanding claims and communicate with the Payer Team to address rejections and appeal denied claims Required Qualifications 5+ years of experience in medical claims processing, billing, or revenue cycle management Knowledge of DME and CRT billing, including payer rules Experience with HCPCS coding and medical necessity documentation for CRT products Certification in medical billing and coding (e.g., CPC, CPB, CRCS) Prior experience working for a CRT provider or DME supplier

May 5, 2025 - 19:38
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CRT Claims Examiner
A company is looking for a CRT Claims Examiner. Key Responsibilities Appeal or correct CRT claims in compliance with Medicare, Medicaid, and commercial insurance guidelines Verify coding accuracy and ensure all required documentation is included with claims Track outstanding claims and communicate with the Payer Team to address rejections and appeal denied claims Required Qualifications 5+ years of experience in medical claims processing, billing, or revenue cycle management Knowledge of DME and CRT billing, including payer rules Experience with HCPCS coding and medical necessity documentation for CRT products Certification in medical billing and coding (e.g., CPC, CPB, CRCS) Prior experience working for a CRT provider or DME supplier