Medicare Claims Processor - Marietta Georgia

Company: VirtualVocations
Location: Marietta, Georgia
Posted On: 01/24/2025

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 More...

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