TEKsystems
Indianapolis, IN
Medical Claims & Billing Review Specialist
100% Remote | Monday-Friday, 8:00 AM-4:30 PM CST
Job Description
We are seeking a Medical Claims & Billing Review Specialist to join a growing healthcare claims review team. This position is ideal for someone with experience in medical billing, claims, denials/appeals, and EOB review who holds an active CPC or CPC-A certification and is looking to expand their healthcare reimbursement knowledge.
In this role, you will review healthcare claims and billing information to assist with payment determinations and dispute resolution. While an understanding of CPT codes and insurance guidelines is important, this is not a traditional coding position and you will not be responsible for coding charts.
Key Responsibilities
Review medical claims, billing information, EOBs, denials, and appeals to support accurate payment determinations.
Analyze claim details, CPT codes, reimbursement information, and supporting...