CRT Claims Examiner

Job Summary

A company is looking for a CRT Claims Examiner.

Key Responsibilities

• Appeal or correct CRT claims in compliance with Medicare, Medicaid, and commercial insurance guidelines
• Verify coding accuracy and ensure all required documentation is included with claims
• Track outstanding claims and communicate with the Payer Team to address rejections and appeal denied claims

Required Qualifications

• 5+ years of experience in medical claims processing, billing, or revenue cycle management
• Knowledge of DME and CRT billing, including payer rules
• Experience with HCPCS coding and medical necessity documentation for CRT products
• Certification in medical billing and coding (e.g., CPC, CPB, CRCS)
• Prior experience working for a CRT provider or DME supplier