Job Description:

Job Description

A Medical Claim Reviewer is responsible for reviewing and analyzing medical claims to ensure accurate billing and coding. They work closely with healthcare providers and insurance companies to resolve claims discrepancies and ensure compliance with regulations.

Responsibilities

• Review and analyze medical claims for accuracy and completeness
• Verify coding and billing information to ensure compliance with regulations
• Communicate with healthcare providers and insurance companies to resolve claims discrepancies
• Document findings and maintain detailed records of claim reviews
• Provide feedback and recommendations for process improvement

Skill Sets

• Strong understanding of medical terminology and coding procedures
• Proficiency in medical billing software and systems
• Attention to detail and analytical skills
• Excellent communication and problem-solving abilities
• Ability to work independently and as part of a team

Industry:

Insurance

Category:

Insurance Brokerage

Skills: