Failed Claims Specialist

Job Summary

A company in the healthcare industry is looking for a Failed Claims Specialist.

Position Responsibilities

• Analyze IP and OP claims that are holding bills from billing
• Recognize and correct claims problems
• Coordinate with other primary users for data collection

Required Qualifications

• High School or GED
• Certifications: RHIA, RHIT, CCS or CPC-H
• Knowledge of healthcare related professions
• Experience in Clinical Departments, claims and charge processing
• Ability to develop educational material and presentation of seminars regarding prevention of Failed Claims