More jobs:
Claims Specialist
Job in
Seattle, King County, Washington, 98127, USA
Listed on 2026-01-22
Listing for:
Medix™
Full Time
position Listed on 2026-01-22
Job specializations:
-
Healthcare
Healthcare Administration, Medical Billing and Coding, Healthcare Compliance, Medical Office
Job Description & How to Apply Below
Our client is seeking a meticulous Claims Reviewer to primarily manage encounter reviews, ensuring accurate and effective documentation for clinician and payor access. The role involves refining, verifying, and submitting Medicaid claims.
Key Responsibilities- Manage the encounter work queue, ensuring accurate documentation and narratives for clinical and payor review.
- Review CPT and ICD-10 codes for accuracy.
- Resubmit claims based on completed encounter reviews for Medicaid.
- Assist with follow-up and manage claim denials if necessary.
- Update DAR in the EPIC system.
- 2+ years of medical administrative experience.
- 2+ years of experience in behavioral health - preferred.
- Experience in insurance verification or encounter reviews.
- Proficiency in EPIC and Microsoft Office, particularly Excel.
- Billing or related certification preferred.
- Minimum of 2+ years' experience of medical billing.
- Behavioral health experience preferred.
- Expertise in insurance verification and encounter reviews.
- Technical proficiency in EPIC and Microsoft Office, especially Excel.
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