What are the responsibilities and job description for the Medical Claims Processor position at GROUP MARKETING SERVICES, INC?
Overview
We are seeking a detail-oriented and organized Medical Claims Processor to join our dynamic team. The ideal candidate will be responsible for reviewing, processing, and managing insurance claims efficiently and accurately. This role is crucial in ensuring that claims are handled in compliance with industry regulations and standards, contributing to the overall success of our organization.
Duties
- Review and process medical claims submitted by healthcare providers.
- Verify patient eligibility and benefits for services rendered.
- Ensure accurate coding of claims using ICD-10, ICD-9, and DRG systems.
- Collaborate with medical offices to resolve discrepancies in billing and coding.
- Conduct medical collections as necessary, following up on unpaid claims.
- Maintain detailed records of claims processed and any communications with providers or patients.
- Stay updated on changes in medical terminology, coding practices, and insurance regulations.
Skills
- Proficient in medical coding and familiar with ICD-10, ICD-9, and DRG systems.
- Strong understanding of medical terminology and billing processes.
- Excellent organizational skills with a keen attention to detail.
- Ability to work independently as well as part of a team in a fast-paced environment.
- Strong communication skills for effective interaction with healthcare providers and patients.
Join us in making a difference in the healthcare industry by ensuring accurate processing of claims that support patient care. We look forward to welcoming a dedicated Claims Processor to our team!
Job Type: Full-time
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Ability to Commute:
- Kalamazoo, MI 49009 (Required)
Work Location: In person