MINIMUM REQUIREMENTS

• Two years of health insurance billing with experience in reviewing medical records, extracting key details, and populating custom medical records submissions to payers.
• Experience resolving claim issues for procedures/test that were denied after pre-approval and claim processing.
• Must have in-depth experience reading and interpreting medical record documents and payer medical policies to ensure the medical documents contain the key “medical necessity” criteria required and meet CMS medical documentation requirements.
• Experience handling a high volume of claims work on a daily basis (35 plus claims per day)
• Typing speed of 35 or more words per minute, with 90% or greater accuracy.
• One-year minimum experience as a medical/healthcare Reimbursement Specialist, with a role with one company.
• Please see the attached success profile for additional roles, responsibilities, and requirements.

TRAVEL REQUIREMENTS

• <5% as needed for training and meetings.

Please refer the Job description for details