What are the responsibilities and job description for the (AFSAT) Medical Claims Reviewer position at OSI VISION LLC?
Overview
The (AFSAT) Medical Claims Reviewer plays a critical role in ensuring the accuracy and compliance of medical claims submitted for processing. This position involves reviewing medical records, coding, and verifying claims to ensure adherence to established guidelines and regulations. The ideal candidate will possess a strong understanding of medical terminology and coding systems, including ICD-9 and ICD-10, and will contribute to the efficiency of the medical billing process.
Duties
- Review and analyze medical claims for accuracy and completeness.
- Verify that all necessary documentation is included in the claims submission.
- Utilize coding knowledge to assign appropriate codes based on medical records.
- Ensure compliance with relevant regulations and standards in medical billing.
- Collaborate with healthcare providers to resolve discrepancies or issues related to claims.
- Maintain detailed records of claim reviews and decisions made.
- Stay updated on changes in medical coding systems and billing practices.
Experience
- Proficiency in medical coding, including familiarity with ICD-9 and ICD-10 coding systems.
- Strong understanding of medical terminology and medical records management.
- Experience in a medical office environment, particularly in roles related to medical billing or collections.
- Knowledge of medical collection processes is preferred but not required.
- Ability to work independently while managing multiple tasks efficiently.
- Excellent attention to detail and strong analytical skills.
This role is essential for maintaining the integrity of the claims process within our organization, ensuring that all submissions are handled with precision and care.
Qualifications
- Proficiency in medical billing, ICD-9, and ICD-10 coding
- Strong understanding of medical terminology and records management
- Experience in medical collection and coding
- Familiarity with EMR and EHR systems
- Ability to analyze medical claims efficiently
- Certification in medical coding is a plus
Job Type: Full-time
Pay: $39,006.93 - $42,997.59 per year
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Medical coding: 3 years (Required)
Ability to Commute:
- Randolph AFB, TX (Required)
Work Location: Hybrid remote in Randolph AFB, TX
Salary : $39,007 - $42,998
