Medical Claims Review Specialist - Telecommuting Role!

A Medical Claims Review Specialist (telecommuting) job in Minneapolis, MN job is available courtesy of Adecco Medical & Science. You will responsible for reviewing Pre-Pay Professional M&R, C&S and E&I cases to mitigate wasteful and erroneous billing. Investigate, prevent payment when appropriate and resolve cases. Gather and analyze all necessary information and documents related to the investigation. Review claim and case history and compare medical documentation against procedural codes billed. This is a minimum 1-year contract position ONLY starting in September 2019. PLEASE NOTE - This is a telecommuting position. The hours are Monday-Friday from either 8:00am-4:30pm CST.

The Medical Claims Review Specialist job responsibilities include:

Review Pre-Pay Professional M&R, C&S and E&I cases to mitigate wasteful and erroneous billing. Investigate, prevent payment when appropriate and resolve cases.
Gather and analyze all necessary information and documents related to the investigation.
Review claim and case history and compare medical documentation against procedural codes billed.
Qualifications & Skills:

• High School Diploma / GED (or higher)
• 2+ years of experience with claims auditing and researching claims information
• 1+ years of experience analyzing data and identify cost saving opportunities
• Experienced Certified Coder
• Experience working with medical claims platforms
• Experience in healthcare
• Experience with Claims Payment Accuracy
• Experience with Recovery of Claims Payments
• Experience with Develop / Manage / Maintain Internal and External Relationships
• Knowledge of Internal and External Policies, Laws and Regulations

If you are interested in this Medical Claims Review Specialist job in Minneapolis, MN then please click APPLY NOW. For other opportunities available at Adecco Medical and Science go to www.adeccousa.com.


Equal Opportunity Employer Minorities/Women/Veterans/Disabled


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Reference number US_EN_2_102814_333478