Medicare Claims Processor — Peak Health / WVU Medicine
Peak Health / WVU Medicine
Job Summary
Reviews and adjudicates Medicare claims, resolves claim edits, verifies benefit eligibility and payment levels, interprets Medicare guidelines and EOBs, and maintains accurate claims records and work queues.
Job Description
Reviews and adjudicates Medicare claims, resolves claim edits, verifies benefit eligibility and payment levels, interprets Medicare guidelines and EOBs, and maintains accurate claims records and work queues.
Additional Requirements & Compensation
Additional Job Details
Full-time, 40 hours per week, non-exempt. Requires an associate degree in a related healthcare field or high school diploma/equivalent plus 3 years of healthcare claims billing/processing experience, plus 1 year of Medicare claims processing, CMS/professional and UB/institutional claims experience, and customer service experience. EPIC familiarity preferred.