Medical Claims Investigator
Virtual Vocations Inc
A company is looking for a Medical Claims Investigator. Key Responsibilities Review medical paid claims against provider contracts and policies for accuracy Utilize analytics and data mining techniques to analyze hospital and physician claims Ensure compliance with HIPAA regulations while promoting a positive team environment Required Qualifications Minimum high school diploma or GED with two years of experience in medical claims investigation or data mining Preferred medical billing and coding certification and bachelor's degree in a relevant field Knowledge of coding type edits and medical claim reimbursement structures Familiarity with automated medical claims payment systems and payer systems Advanced computer skills, particularly in Microsoft Excel
Vacancy posted 2 days ago
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