Medical Claims-Data Entry

firstsourc • Remo, VA

5d • Remote

About The Position

This role is for a non-standard medical and dental claims data entry position involves manually inputting, reviewing, and correcting complex healthcare claim information into electronic systems, focusing on fields not covered by automated systems. This role will require handling nuanced information, such as care received internationally, workers' compensation, detailed coding review, and high attention to detail combined with mathematical proficiency to calculate co-insurance, deductibles, negotiated fee schedules, and to reconcile payment discrepancies.

Requirements

• 1+ years of healthcare claims experience, medical billing, or coding
• High accuracy and typing speed of 10,000+ keystrokes per hour
• Strong ability to add, subtract, multiply, and divide rapidly and accurately
• Ability to work in a fast-paced, high-volume environment
• Proficiency with electronic medical claims platforms
• Familiarity with ICD-10, CPT codes, and medical terminology

Responsibilities

• Accurately enter claims, patient demographics, diagnosis codes (ICD-10-CM), and billing codes from paper or electronic sources into processing platforms and systems.
• Perform calculations to determine accurate payment amounts, including subtracting patient copays and deductibles from total allowable charges, and calculating percentage-based co-insurance.
• Analyze claims for missing or incorrect data (e.g., patient name, date of birth, insurance ID) and correct discrepancies before submission and/or send for further research.
• Coordinate with physicians, administrative teams, and insurance providers to resolve missing data or billing discrepancies.
• Adhere strictly to HIPAA and other health regulations, maintaining confidentiality of sensitive patient information.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed