What are the responsibilities and job description for the Claims Specialist position at Clovity?
Overview
We are seeking a detail-oriented Claims Specialist to join our team. The ideal candidate will have a strong understanding of medical billing, coding, and documentation processes. This position offers an opportunity to work in a dynamic environment where organizational skills and medical knowledge are key.
Duties
- Review and process medical claims for accuracy and compliance
- Analyze and file claims with insurance companies, Medicare, and other payers
- Ensure timely submission of claims and follow-up on outstanding claims
- Verify patient insurance coverage and eligibility
- Maintain detailed records of claims and payments
- Collaborate with healthcare providers to resolve claim issues
- Stay up-to-date on Workers Compensation laws and regulations
Qualifications
- Proficiency in medical terminology, coding, and documentation
- Experience in medical billing or related field is preferred
- Strong organizational skills with attention to detail
- Knowledge of Medicare guidelines and regulations
- Familiarity with Workers Compensation law is a plus
- Clerical skills for accurate data entry and record keeping
Job Type: Contract
Pay: $16.00 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Customer service: 1 year (Preferred)
- claims processing: 1 year (Preferred)
Work Location: In person
Salary : $16
