Top 207 Claims specialist Jobs in Herndon Va

Medical Billing and Coding Specialist
Core Health and Wellness Center —Washington, DC
- $24.50 - $28.00 an hour
- Part-time
- Background check
- Anatomy knowledge
- Internal Medicine
- Health insurance
- Dental insurance
Quick Apply
Security Officer Armed Patrol Clearance Specialist
Allied Universal —Manassas, VA
- $27.31 an hour
- Full-time
- Customer service
- Computer literacy
- Pass drug screening
- Paid training
- AD&D insurance
Quick Apply
2d
Accounting Specialist (AR/AP)
Tri State Restorations, LLC —Clarksburg, MD
- $25 - $35 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Computer literacy
- Research
- Paid holidays
- Health insurance
Quick Apply
1d
Senior Claim Benefit Specialist - Remote
CVS Health —Washington, DC
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
11d
Claims Specialist-WC
Broadspire Services, Inc. —Fairfax, VA
- Full-time
- Writing skills
- Mid-level
- Driver's License
- Paid parental leave
- Health savings account
Quick Apply
1d
Liability Specialist
Erie Insurance —Silver Spring, MD
- $63,130 - $100,843 a year
- Full-time
- Remote
- 5 years
- Adults
- Mid-level
- Disability insurance
- Health insurance
15h
Client Assistance Specialist (Rapid Rehousing Program), Grade 20
Montgomery County Government —Rockville, MD
- $69,601 - $110,382 a year
- Email
- Customer service
- Pass drug screening
- Bachelor's degree
- Wellness program
- Paid parental leave
3d
Junior Revenue Cycle Management (RCM) Specialist - REMOTE
CareTalk Health —Aspen Hill, MD
- $35 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Office
- Finance
- Health insurance
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TERM Government Assistance Eligibility Specialist I/II, Grade 17/Grade 18
Montgomery County Government —Silver Spring, MD
- $59,897 - $110,382 a year
- Email
- Microsoft Word
- Microsoft Excel
- No experience needed
- Wellness program
- Paid parental leave
3d
Medical Billing Specialist
All Day Medical Care Clinic —Gaithersburg, MD
- $25 - $35 an hour
- Part-time
- Bilingual
- HIPAA
- Mid-level
- 401(k) matching
- Employee discount
Quick Apply
14d
Safety Professionals
PerLectric —Fairfax, VA
- Research
- Mid-level
- Bachelor's degree
Dental Billing Specialist
Howard University —Washington, DC
- $43,641 - $48,006 a year
- Full-time
- Microsoft Excel
- Research
- Mid-level
- 403(b) matching
- Commuter assistance
Government Assistance Eligibility Specialist III, Grade 22
Montgomery County Government —Derwood, MD
- $75,666 - $120,594 a year
- Email
- Microsoft Excel
- Bachelor's degree
- Continuous improvement
- Wellness program
- Paid parental leave
2d
Claims Specialist
Healthcare Legal Solutions LLC —Washington, DC
- $50,000 - $60,000 a year
- Microsoft Excel
- Writing skills
- Research
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PCS Portal Specialist
Chenega Naswik International, LLC —Chantilly, VA
- $40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Access
- Mid-level
Billing Specialist
Community Clinic Inc. —Silver Spring, MD
- $25 - $30 an hour
- Full-time
- Computer literacy
- Bachelor of Science
- HIPAA
- Tuition reimbursement
- Paid time off
Quick Apply
13d
Taxpayer Advocate Specialist
Office of The Chief Financial Officer —Washington, DC
- $62,158 - $96,547 a year
- Full-time
- Research
- Mid-level
- Office
8d
Medical Billing and Posting Specialist
Human Touch Home Health —Falls Church, VA
- $21 - $23 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Claim Specialist - Property Field Inspection
State Farm —Arlington, VA
- $64,965.62 - $99,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
Medical Billing Specialist
Quality DME, Inc. —Lorton, VA
- $25 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- English
- Health insurance
- Dental insurance
Quick Apply
6d

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Medical Billing and Coding Specialist

Core Health and Wellness Center
Washington, DC

Quick Apply

Job Details

Part-time | Full-time | Contract
$24.50 - $28.00 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Flexible schedule

Qualifications

Direct patient care
Anatomy knowledge
Process audits
Medical Coding Certification
Regulatory compliance in claims processing
Healthcare documentation compliance audits
Medical coding experience in outpatient clinics
Clinical staff training
Health insurance knowledge
Clinical training
Certified Coding Specialist
Medical billing
Health information regulatory compliance
Medical Billing Certification
Productivity software
Insurance claims auditing
Patient treatment
Clinical documentation standards
Healthcare claims compliance audits
Medical terminology
Negotiation

Full Job Description

Core Health and Wellness Center is a primary care medical home family practice that focuses on holistic preventive health care. We are seeking an on-site biller/coder specialist to support our revenue cycle management needs.

JOB SUMMARY: The Billing and Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. In this role, you will perform bill and chart reviews in identifying any variation from quality of billing as well as monitor patient bills for accuracy and compliance.

JOB ROLES AND RESPONSIBILITIES:

Review and analyze daily provider billing for medical appropriateness of treatment, analysis of charges of various revenue centers with consideration to patient diagnosis, procedures, age and any additional information relevant to the negotiation process.
Apply recommendation of national coding and regulation standards to claims billed.
Assist with, create or enhance internal claims, ensure daily submission of claims.
Track, correct and resubmit all denials.
Post daily ERA/EOB's and adjust balances.
Communicate with management regarding clinical and reimbursement findings.
Assist with clinical education of staff as it relates to clinical aspects of claims.
Research and review individual claims, claim trends or detailed itemized bills and other documentation as needed.
Support and maintain the credentialing of our providers.
Ensure compliance with payor contracts (Medicaid, Medicare, Commercial).
Ensure compliance with HIPAA regulations and requirements.
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Job Scope: This position works independently with general supervision in order to complete the outlined responsibilities. The incumbent balances several duties at a time and work is varied and complex.

Requirements

JOB REQUIREMENTS (Education, Experience, and Training):

Minimum completion of educational curriculum required of coding certification held, with at least 3 years of coding experience.
Current certified coder, certified biller.
Minimum 3 years' experience in direct patient care, medical procedure billing, medical insurance auditing, line-item review, audits, coding, and/or reimbursement.
Knowledge of outpatient primary care (Family Medicine, Internal Medicine and/or Pediatrics) billing requirement including itemization of charges, CPT codes, HCPCS codes, ICD-9/10 diagnoses and procedure codes.
Knowledge of professional claim billing requirements including HCFA1500s, CPT codes and ICD-9/ICD-10 diagnoses codes.
Knowledge of payer reimbursement policies, state and federal regulations, medical necessity criteria and applicable industry standards.
Knowledge of commonly used medical data resources such as MDR, Medical Fees in the US, etc.
Auditing and health information management experience in a healthcare setting preferred.
Excellent communication (verbal and written), teamwork, training, presentation, negotiation and organizational skills.
Ability to use hardware, software and peripherals related to job responsibilities, including MS Office Suite and database software. Knowledge of Eclinical works EMR preferred.
Ability to handle multiple tasks in a fast-paced environment.
Ability to read and abstract medical records.
Knowledge of medical terminology, anatomy, and physiology.
Ability to interact and discuss audit results with providers.
Required licensures, professional certifications, and/or Board certifications as applicable.
Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

Job Types: Full-time, Part-time, Contract

Pay: $24.50 - $28.00 per hour

Expected hours: No more than 40.0 per week

Benefits:

Dental insurance
Flexible schedule
Health insurance
Paid time off

Work Location: In person

Quick Apply

Refine Your Search

claims specialist jobs in herndon va

Medical Billing and Coding Specialist

Security Officer Armed Patrol Clearance Specialist

Accounting Specialist (AR/AP)

Senior Claim Benefit Specialist - Remote

Claims Specialist-WC

Liability Specialist

Client Assistance Specialist (Rapid Rehousing Program), Grade 20

Junior Revenue Cycle Management (RCM) Specialist - REMOTE

TERM Government Assistance Eligibility Specialist I/II, Grade 17/Grade 18

Medical Billing Specialist

Safety Professionals

Dental Billing Specialist

Government Assistance Eligibility Specialist III, Grade 22

Claims Specialist

PCS Portal Specialist

Billing Specialist

Taxpayer Advocate Specialist

Medical Billing and Posting Specialist

Claim Specialist - Property Field Inspection

Medical Billing Specialist

I want to receive the latest job alert for claims specialist in herndon va

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