Medicare Claims Processor
Company: VirtualVocations
Location: Hialeah
Posted on: February 4, 2025
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Job Description:
A company is looking for a Medicare Claims Processor to analyze
and process insurance claims in accordance with CMS guidelines.
Key Responsibilities
Ensure accuracy of data entered and maintain records
Analyze claims to determine insurance carrier liability and resolve
claim edits
Interpret contract benefits and adjudicate claims per Medicare
processing guidelines
Required Qualifications
Associate Degree in a related healthcare field or high school
diploma with 3 years of healthcare claims experience
At least 1 year of Medicare claims processing experience
At least 1 year of experience with CMS/professional and
UB/institutional claims
Working knowledge of Medicare terminology, procedure codes, and
HIPAA requirements
Keywords: VirtualVocations, The Hammocks , Medicare Claims Processor, Other , Hialeah, Florida
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