What are the responsibilities and job description for the Medical Claims Specialist position at TriHealth?
**Job Overview**
As a Medical Biller II at TriHealth, you will play a crucial role in ensuring timely and accurate submissions of medical claims. This position requires strong analytical skills, attention to detail, and excellent communication skills.
**Responsibilities**
We are seeking a highly motivated and organized individual to assist our lead medical biller and billing staff in submitting accurate clean claims and ensuring timely follow-up. The ideal candidate will be responsible for collaborating with other teams to appeal denied claims as needed, reviewing and investigating credit balances, and providing excellent customer service by answering patient and third-party questions and addressing billing concerns in a timely and professional manner.
**Requirements**
To succeed in this role, you will need a high school degree or GED, along with 3-4 years of experience in a related field. A working knowledge of ICD-9, ICD-10, and CPT terminology is also essential. Additionally, you should have experience with Epic and Clearing House systems and possess strong analytical and problem-solving skills.
**TriHealth SERVE Standards**
At TriHealth, we value the time of others and strive to provide exceptional service. Our SERVE standards include welcoming everyone by making eye contact, greeting with a smile, and saying hello. We also recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met. Furthermore, we respect cultural and spiritual differences and honor individual preferences. We value the contributions of our team members and frequently thank them for their hard work and dedication.
