Healthcare Claims Review Specialist

A company is looking for a Claim Review Specialist. Key Responsibilities Reviewing medical claims before submission to identify and correct errors Ensuring claims meet payer-specific requirements and billing guidelines Monitoring claim rejection patterns and implementing process improvements Required Qualifications 2+ years of experience in healthcare claims processing or medical billing Strong knowledge of CPT, ICD-10, and HCPCS coding Experience with insurance verification and prior authorization processes Ability to work in a fast-paced environment with changing priorities Inherent growth mindset focused on continuous improvement

Mar 14, 2025 - 00:57

A company is looking for a Claim Review Specialist. Key Responsibilities Reviewing medical claims before submission to identify and correct errors Ensuring claims meet payer-specific requirements and billing guidelines Monitoring claim rejection patterns and implementing process improvements Required Qualifications 2+ years of experience in healthcare claims processing or medical billing Strong knowledge of CPT, ICD-10, and HCPCS coding Experience with insurance verification and prior authorization processes Ability to work in a fast-paced environment with changing priorities Inherent growth mindset focused on continuous improvement