Top 12219 Claims specialist Jobs

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Medical Billing & Coding Specialist
Western New York BloodCare —Buffalo, NY
- $24 - $27 an hour
- Part-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Claims Resolution Specialist
Moxie Healthcare Solutions LTD —Lubbock, TX
- From $18 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
8d
Requalification/Claims Specialist
BLACKBURN'S PHYSICIANS PHARMACY —Tarentum, PA
- $18 - $20 an hour
- Full-time
- Background check
- Microsoft Excel
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Billing Specialist
COMMUNITY CARE AMBULANCE NETWORK —Ashtabula, OH
- Overtime
- Mid-level
- Office
- Administrative experience
- 401(k)
Quick Apply
Specialist, LOA & Vendor Relations
ExtensisHR —Iselin, NJ
- $70,000 - $95,000 a year
- Hybrid work
- Ability to walk for extended periods
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Claims Specialist
GEICO —Melville, NY
- $23.91 - $37.65 an hour
- Weekends as needed
- Office
- High school diploma or GED
- Entry level
- Paid holidays
- Health insurance
CLAIMS SPECIALIST
JR Services —Remote
- Full-time
- Remote
- Customer service
- Communication skills
- Entry level
- Vision insurance
Claims Operations Specialist
Coalition, Inc. —Remote
- $75,000 - $100,000 a year
- Remote
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
CAT Claims Specialist
Frontline Homeowners Insurance —Remote
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Temporary, Billing Reimbursement Specialist II
NeoGenomics Laboratories —Remote
- Temporary
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Appeals Specialist - Hospital Billing, Underpayments
Aspirion —Atlanta, GA
- $20 - $26 an hour
- Full-time
- Remote
- Research
- High school diploma or GED
- Bachelor's degree
- Work from home
Quick Apply
Indemnity Claims Specialist
CorVel Corporation —Lawrenceville, GA
- $52,999 - $85,473 a year
- Full-time
- Remote
- Computer literacy
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
Claims Specialist II
Mercury Insurance Services, LLC —Los Angeles, CA
- $24.52 - $29.33 an hour
- Full-time
- Remote
- Computer literacy
- Mid-level
- High school diploma or GED
- Paid training
- Paid holidays
Claims Specialist
CorVel Corporation —Portland, OR
- $52,999 - $85,473 a year
- Full-time
- Remote
- Computer literacy
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
Claims Specialist -- Trucking
Spotter —Lemont, IL
- Remote
- Mid-level
- Analysis skills
- Organizational skills
- Opportunities for advancement
Quick Apply
RCM Billing Specialist
REVASCENT LLC —Remote
- $18 - $26 an hour
- Remote
- HIPAA
- Data entry
- Entry level
Quick Apply
Collections Specialist
Defining Wellness Centers LLC —Remote
- From $50,000 a year
- Full-time
- Remote
- Addiction Medicine
- Adults
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Collections Specialist
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- 5 years
- Writing skills
- English
- Health savings account
- Paid holidays
Quick Apply
Billing Specialist - Remote
Health Support Center —Brentwood, TN
- $18 - $22 an hour
- Full-time
- Remote
- Microsoft Outlook
- Research
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Billing Specialist
In Reach Speech-Language Therapy LLC —Remote
- $22 - $24 an hour
- Full-time
- Remote
- Mid-level
- Children
- Work from home
- Flexible schedule
Quick Apply
3d

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Medical Billing & Coding Specialist

Western New York BloodCare
Buffalo, NY

Quick Apply

Job Details

Part-time
$24 - $27 an hour

Benefits

Health insurance
Dental insurance
Flexible spending account
Paid time off
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Flexible schedule
Life insurance

Qualifications

Customer communication
Teamwork
HIPAA
High school diploma or GED
Medical billing
Organizational skills
Time management

Full Job Description

Position Summary:

Under the direction of the Revenue Cycle Manager, the Medical Billing and Coding Specialist translates clinical documentation into standardized codes, ensuring the accurate and timely submission of claims and reimbursement from insurance payers. You will be responsible for identifying and resolving complex billing issues, managing accounts receivable (A/R), and partnering with providers to improve documentation quality.

Essential Functions:

Medical Coding

1. Medical Coding: Analyze patient medical records to accurately assign CPT, ICD-10-CM, and HCPCS Level II codes to diagnoses and procedures.

2. Data Accuracy: Using coding software, medical dictionaries, and classification manuals to ensure coding accuracy and compliance with federal regulations.

3. Provider Collaboration: Work with clinical staff to clarify documentation for medical necessity and accurate coding.

4. Administrative Tasks: Assisting with billing, auditing charts, and managing medical records. Participates in our internal audit process.

Medical Billing

1. Claims Management: Prepare and submit clean electronic and paper claims to primary, secondary, and tertiary payers. Accuracy in claim editing, billing, and posting processes.

2. Revenue Cycle Support: Post payments manually or electronically, track and manage A/R aging reports, and reconcile ERA/EOB remittances.

3. Denials & Appeals: Monitor claim status, address rejections, and draft effective appeals for denied claims.

4. Patient Interaction: Answer inquiries regarding costs, insurance coverage, and payment plans while maintaining professional communication.

5. Compliance: Ensure all activities adhere to HIPAA regulations, CMS guidelines, and state/federal healthcare laws.

6. Administrative Tasks: Assisting with insurance payer medical record requests.

Organizational Responsibilities

1. Quality Improvement: Participates in the organization’s quality improvement program

2. Core Values: Demonstrates knowledge and practice of the organization’s Core Values of Universal Accountability, Effective Communication, Team Unity, and Trust

Education and Experience:

· Experience: Minimum of 2 years of active experience in a medical billing and coding role.

· Education: High school diploma required

Certification: Required certification:

§ Certified Professional Coder (CPC) -OR-
§ Certified Coding Specialist (CCS)

Knowledge, Skills, and Abilities:

· Expert knowledge of EHR/Practice Management platforms (e.g. Medent, CPR+, CareTend, and Microsoft Office Suite (Excel, Outlook, Word))

· Knowledge of Pharmaceutical Part B Billing a plus

· Strong analytical abilities, extreme attention to detail, organizational and time management skills, and the ability to work independently· Effective written and verbal communication skills

Typical Work Environment

· Setting: Small medical practice

· Role: Hybrid: 3-4 days, 1 day remote after demonstrated proficiency as determined by supervisor

· Medical Specialties: Multi-specialty clinic, laboratory, and pharmaceutical services

Pay: $24.00 - $27.00 per hour

Benefits:

401(k) matching
Dental insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Professional development assistance
Vision insurance

Experience:

Medical Coding: 2 years (Required)
Medical billing: 2 years (Required)

License/Certification:

Coding Certification (Required)

Ability to Commute:

Buffalo, NY 14202 (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims specialist jobs

Medical Billing & Coding Specialist

Claims Resolution Specialist

Requalification/Claims Specialist

Billing Specialist

Specialist, LOA & Vendor Relations

Claims Specialist

CLAIMS SPECIALIST

Claims Operations Specialist

CAT Claims Specialist

Temporary, Billing Reimbursement Specialist II

Appeals Specialist - Hospital Billing, Underpayments

Indemnity Claims Specialist

Claims Specialist II

Claims Specialist

Claims Specialist -- Trucking

RCM Billing Specialist

Collections Specialist

Collections Specialist

Billing Specialist - Remote

Billing Specialist

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