Claims Processing Support
Under direct supervision, provide support to resellers and end users for application and system support issues; perform testing of enhancements and new software programs; and assist in the research of reported bugs or requested enhancements by clients.
Ability to process claims on either a CMS 1450 and/or CMS 1500 claim form, including but not limited to Surgery, Medicine, Lab and Radiology. Assist in analysis of customer inquiries regarding billing, coding, system applications, and software. Research CMS and commercial payer rules and regulations. Test billing and coding edits, product enhancements, and bug corrections. Create, track, and resolve support related issues using the internal case management system. Answer incoming support and registration calls and e-mails. Provide on-call support coverage. Other duties as assigned.
Three years of experience in filing or adjudicating health insurance claims. Working knowledge of CPT codes, ICD-10 codes, Revenue Codes and HCPC codes. Excellent problem solving, organizational, research and analytical skills. Excellent computer skills. Strong written and verbal communication skills. Strong Word and Excel skills. Strong reading comprehension. Strong interpersonal skills and the ability to interact with employees and others in a professional manner. Strong judgment, decision-making and detail-oriented skills. Ability to work independently or as a team. Ability to work in a fast- paced environment. Ability to think logically.
Standing, sitting, kneeling, stooping, lifting, bending, climbing, twisting upper body, walking, pushing, pulling, occasional lifting and carrying of large boxes up to 25 lbs., listening, talking, use of telephone, exposure to computer monitor screens and repetitive data entry.