Claims Processing Clerk
Company: Praesum Healthcare
Location: Lake Worth
Posted on: July 30, 2022
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Job Description:
Praesum Healthcare:Position Title: Claims Processing
ClerkFounded in 2003, Praesum Healthcare provides administrative
services for healthcare providers in key geographical locations
throughout the Northeast, mid-Atlantic, and Southeast regions.
Praesum is an established leader in the healthcare industry. With a
solid, growth-focused business model, strong finances, and expert
management team, Praesum will continue to grow in the years to
come. Praesum currently provides services to behavioral health
facilities providing all levels of care from inpatient psychiatric
and substance abuse detoxification, through SUD and mental health
outpatient clinics, and several diagnostic reference
laboratories.Job Description:The Claims Processing Clerk will
review and audit patient medical records and assign codes to
diagnoses and procedures performed by service providers. This
position will prepare all billing forms to send to 3rd party biller
for timely insurance claim submission. This position will ensure
accuracy encompassing billing, coding and insurance requirements,
in addition to state and federal laws surrounding Protected Health
Information (PHI) and HIPPA, 42CFR, Part
2.Duties/Responsibilities:--- Review and audit medical records for
accuracy in billing, coding and insurance requirements--- Organize
and manage patients' health information data--- Prepares daily
charges and claims to be submitted electronically to clearing house
and insurance carriers--- Accounts Receivable follow up with
insurance carriers--- Claim denial management with electronic
clearing house--- Utilizes 3 different code sets: CPT, HCPCS, and
ICD-10 for appropriate billing to insurance carriers--- Release
information to persons and agencies according to state and federal
regulations--- Possess the ability to critically analyze
documentation, assigning proper codes.Requirements:--- High School
Diploma or GED equivalent required, AA Degree or Vocational
training preferred--- A minimum of 2 years of office or related
healthcare industry experience--- Working knowledge of Microsoft
Office applicationsSchedule:--- Full Time--- Monday -
FridayCompensation:--- Hourly rate competitive with experience and
locationFull time employees may be eligible for the following:---
Insurance: Medical, Dental, Vision, and STD options--- Medical FSA
and Dependent Care Account--- 401k with company match up to 2.5%---
Accrued PTO Plan--- Education reimbursement--- Career Advancement
Opportunities This job does NOT sponsor visa's and we are unable to
consider out of country applicants If you are interested in this
opportunity or know someone that you respect who would be a good
fit for this position, please email:Chase - Director of Talent
AcquisitionRay - Executive Recruiter
Keywords: Praesum Healthcare, Palm Beach , Claims Processing Clerk, Other , Lake Worth, Florida
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