Claims Specialist
Our client in the medical supply industry is seeking a Claims Specialist to support a high-impact revenue recovery project tied to recent Medicare and Tricare processing changes. Salary is $41,600-$52,000, DOE
ABOUT OUR CLIENT
- A well-established provider of medical equipment in the Columbus-area
- Known for supporting both private and government healthcare networks
- Collaborative, detail-driven office culture focused on accuracy and results
- Casual work environment with an emphasis on professional accountability
- Opportunity to make a measurable impact on recovering aged receivables and strengthening cash flow as the Claims Specialist
RESPONSIBILITIES OF THE CLAIMS SPECIALIST
The Claims Specialist will post claims in Bonafide, ensuring all data meets current HCPC and Tricare standardsThe Claims Specialist will reconcile and correct rejected or pending claims, attaching required documentation and resubmitting for processingCommunicate directly with Medicare and Tricare representatives to verify claim receipt, payment status, and issue resolutionTrack, document, and report claim and cash recovery progress to leadershipPREFERRED QUALIFICATIONS FOR THE CLAIMS SPECIALIST
Must have hands-on experience with both Tricare and Medicare billingMust have direct experience using Bonafide billing softwareKnowledge of claims processing, EOB reconciliation, and appeals workflowExperience with Excel is a plus (basic to intermediate proficiency)Salary is $41,600-$52,000, DOE