Reimbursement Specialist (ID #512716)
partners personnelLanghorne, PA
$20.00 - $22.00 per hourAPPLY NOW
Reimbursement Specialist (ID #512716)
partners personnelLanghorne, PA
2 days ago
Occupations
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksMedical Records SpecialistsIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsClaims AdjustingSurgical Appliance and Supplies Manufacturing$20.00 - $22.00 per hour
APPLY NOWAbout the role
Medicare/Medicaid Claims Specialist 3-5+ years of experience understanding Medicare/Medicaid requirements Pay Range: $20$22/hr Role Responsibilities: Submit CMS-1500 claims for custom orthotics, prosthetics, and durable medical equipment (DME), utilizing specific HCPCS codes/modifiers. Investigate denied claims, analyze denial trends and prepare appeals backed by clinical documentation Ensure compliance with Medicare's Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and prior authorization
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JOB OVERVIEW
Salary
$20.00 - $22.00 per hour
Experience level
Senior
Location
Langhorne, PA
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
2 days ago
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