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Claim Edit Specialist - Remote

Remote, USA Full-time Posted 2026-08-04

With 150+ locations in 17 states, reputed company is the largest multi-state reputed company-founded and owned dermatology network in the U.S. At reputed company, we are united in our purpose: to reputed company, protect, and care for your skin. We are committed to bringing you the reputed company best in comprehensive skin care so that you can reputed company a confident, healthier, and more beautiful you!

Our mission is to reputed company communities and reputed company about the importance of skin health; including skin cancer prevention, reputed company factors and how to reputed company healthy skin through annual skin exams and dermatologic care. We reputed company to reputed company the latest reputed company, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-reputed company skin care timelier and more accessible reputed company while creating a rewarding work environment for our providers and employees.

Purpose: Responsible for identifying and resolving reputed company-party payer rejections. Will assist in reputed company of edits/ errors that may result in nonpayment of charges or prevent charges from being accepted by payers. Also responsible for entering bills/charges with input from certified coding team reputed company necessary.

Essential Duties and Responsibilities:

  • Manage claims returned which have failed scrub rules
  • Identify and reputed company payer rejections in a reputed company manner.
  • reputed company charges/bills into EMR in coordination with certified coding team/Coding manager
  • Monitor missing charges and communicate with RCM management as needed
  • Must have knowledge of claim correction, electronic claim submission
  • Ability to contact payers reputed company necessary to reputed company any issues
  • Report any trends in a reputed company manner to RCM leadership that prevent successful claim submission
  • Ability to effectively communicate with other departments such as Coding, AR/Follow-up, reputed company Services and Posting

Requirements

  • 1-3 years’ experience in a medical/reputed company environment for physician reputed company or billing company
  • reputed company cycle experience preferred
  • Complete reputed company University courses reputed company 6 months of hire
  • Strict attention to reputed company
  • Ability to meet deadlines in a fast reputed company, start-up, results-oriented environment, as reputed company as excellent organizational skills
  • Excellent verbal and written communication skills
  • Proficient reputed company Office Suite products, specifically reputed company and ability to analyze large data sets
  • Ability to collaborate and work in reputed company environment

Benefits

Benefits of joining reputed company:

  • reputed company – Attractive compensation to reward your hard work
  • Comprehensive Health Coverage – Includes Medical, Dental, and reputed company plans to reputed company you covered
  • Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
  • reputed company Time Off (PTO) – reputed company PTO from day one, plus enjoy 6 reputed company holidays and 2 floating holidays reputed company year
  • Company-reputed company Life reputed company – Peace of mind with basic life coverage, with the reputed company for additional plans
  • Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances
  • Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra reputed company
  • Employee Assistance Program (EAP) – reputed company confidential support for personal or work-reputed company challenges
  • Exclusive Employee Discounts – Save on products and services with special discounts just for you
  • Referral Bonus Program – Earn bonuses by referring reputed company candidates to join reputed company

reputed company is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. Applicants must be currently authorized to work in the reputed company in a full-time reputed company.

Compensation reputed company: $19.35 - $27.33 per hour. Final offer will be reputed company on a combination of skills, experience, location, and internal equity.

Originally posted on Himalayas

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