FreeHire

SHAI

Claims Processor

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· <\/span><\/span><\/span>Accurately enter healthcare services and charges into the practice management or billing software.<\/span>
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· <\/span><\/span><\/span>Review patient encounter forms or superbills for correct procedure codes (CPT/HCPCS), diagnosis codes (ICD\-10), and other relevant information.<\/span>
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· <\/span><\/span><\/span>Work closely with the billing and coding teams to ensure accurate charge capture and billing cycles.<\/span>
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· <\/span><\/span><\/span>Ensure that all charges are appropriately documented and entered in a timely manner.<\/span>
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· <\/span><\/span><\/span>Verify that all patient and insurance information is up to date to minimize claim rejections or delays.<\/span>
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· <\/span><\/span><\/span>Maintain knowledge of various health insurance payer requirements and ensure that charges are compliant with each payer\u2019s policies and procedures.<\/span>
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· <\/span><\/span><\/span>Submit claims to insurance companies.<\/span>
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· <\/span><\/span><\/span>Address and resolve any discrepancies with insurance billing by reviewing patient information, charge details, and insurance policies.<\/span>
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· <\/span><\/span><\/span>Maintain detailed records of charge entry activities, ensuring they are well\-documented and accessible for auditing and reporting purposes.<\/span>
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· <\/span><\/span><\/span>Adhere to all healthcare regulations, including HIPAA, CMS guidelines, and insurance\-specific policies.<\/span>
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Requirements<\/h3>

· <\/span><\/span><\/span>Bachelor\u2019s degree or equivalent in any discipline (preferably in healthcare, life sciences, or related fields).<\/span>
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· <\/span><\/span><\/span>Strong attention to detail and accuracy.<\/span>
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· <\/span><\/span><\/span>Good verbal and written communication skills.<\/span>
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· <\/span><\/span><\/span>Basic knowledge of medical terminology and insurance processes (training will be provided).<\/span>
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· <\/span><\/span><\/span>Familiarity with Microsoft Office (Word, Excel, etc.) and billing software is a plus.<\/span>
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· <\/span><\/span><\/span>Ability to learn quickly and adapt to new billing systems and software.<\/span>
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· <\/span><\/span><\/span>Strong problem\-solving skills and the ability to work independently.<\/span>
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Benefits<\/h3>

· <\/span><\/span><\/span>Competitive salary package.<\/span>
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· <\/span><\/span><\/span>Health and wellness benefits.<\/span>
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· <\/span><\/span><\/span>On\-the\-job training and professional development opportunities.<\/span>
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· <\/span><\/span><\/span>A collaborative and supportive work environment.<\/span>
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· <\/span><\/span><\/span>Career growth potential in the healthcare billing and coding field.<\/span>
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