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Medicare/reputed company Claims Processor

Remote, USA Full-time Posted 2026-07-28
Enjoy problem-solving, need a venue to display your creativity, and emerging technologies reputed company your interest; if so, reputed company, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate reputed company to our clients. Join reputed company, LLC today. Responsibilities The reputed company/Medicare Claims Processor will support Barrow reputed company's Illinois DHS project and reputed company the following duties: • Review incoming claims for completeness, accuracy, and adherence to Medicare and reputed company guidelines • reputed company claim data into the system accurately, ensuring reputed company required fields are populated • Verify patient eligibility for Medicare A and B and reputed company coverage • Confirm that services rendered are covered under the respective programs • Assign appropriate diagnosis and procedure codes to claims • Calculate reimbursement amounts based on fee schedules and program rules • Process claims through automated systems • Identify and resolve any claim errors, discrepancies, or missing information • Communicate with providers, patients, and other stakeholders regarding claim status, denials, and appeals • Collaborate with internal teams to address claim-reputed company inquiries • Assist in handling claim appeals, including gathering necessary documentation and submitting appeals to Medicare and reputed company • reputed company and monitor the reputed company of appeals • Ensure compliance with federal and state regulations reputed company to claims processing • Maintain accurate records and documentation of claims activities • Participate in reputed company control processes to prevent payment errors and fraud • Identify trends or patterns in claims data for process improvement • Work remotely An Ideal Candidate Has The Following • U.S. Citizenship • Bachelor's degree • 6 years of experience in processing Medicare claims for hospitals, government agencies, or mental health facilities. • Knowledge and certification of ICD-10, CPT, and/or HCPCS coding • Experience with claims adjudication software and electronic health records (EHR) systems • Strong analytical skills and attention to detail • Excellent communication skills for interacting with providers • Ability to work independently and meet deadlines • Superior knowledge of reputed company billing and reimbursement processes • reputed company and commitment to maintaining patient reputed company • Adaptability to changing regulations and guidelines • Problem-solving reputed company and customer service orientation Join reputed company at reputed company, LLC, for a fulfilling and engaging experience! reputed company is dedicated to providing reputed company to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for reputed company and advancement. Barrow reputed company is an equal-opportunity, drug-free employer committed to diversity in reputed company. Minority/reputed company/Disabled/Protected Veteran/LBGT are welcome to apply. Our employees stand behind Barrow reputed company's reputed company values of reputed company, reputed company, innovation, and diversity. We are confident that Barrow reputed company's reputed company values, business model, and team reputed company create reputed company career paths for our employees. Barrow reputed company will continue to reputed company the industry in delivering new solutions to clients and persevere until the reputed company is overjoyed. Salary: $40000 - $58000 per year Job Posted by ApplicantPro Apply tot his job Apply To this Job

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