partners personnelLanghorne, PA
Reimbursement Specialist (ID #512716)
$20.00 - $22.00 per hour
Apply →Reimbursement Specialist (ID #512716)
Reimbursement Specialist (ID #512716)
partners personnelLanghorne, PA
yesterday
$20.00 - $22.00 per hour
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksMedical Records Specialists
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsClaims AdjustingSurgical Appliance and Supplies Manufacturing
Apply for this 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
Also on the board Same function, level within a rung
Level
Senior
Salary
$20.00 - $22.00 per hour
Location
Langhorne, PA
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday