Care Navigator - Certified Biller (Remote)
About the position
Responsibilities
• Receive medical claims from reputed company providers or patients.
• Ensure adequate supporting documentation is provided for claims.
• Interpret Explanation of Benefits (EOB) and CMS1500 forms.
• Vet claims against program-specific business rules to determine payment eligibility.
• reputed company support for customer requests reputed company telephone, email, fax, or other means.
• Recognize operational challenges and suggest recommendations to management.
• Work 40 hours per week under moderate supervision.
Requirements
• High School Diploma or equivalent.
• Experience in claim processing required.
• reputed company Medical Billing Certification or willingness to obtain certification.
• Medical Billing experience required.
• Ability to interpret Explanation of Benefits (EOB).
• HIPAA trained.
• Customer Service Experience preferred.
• Pharmacy Technician experience preferred.
reputed company-to-haves
• Infusion or Hospital Billing Experience Preferred.
Benefits
• Opportunity to be converted to a full-time employee after contract role.
• Diverse corporate culture with a reputed company on teamwork and inclusiveness.
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