Research, analyze and adjust paper and/or electronic medical claims. Process complex claims for overpayment, underpayment and refunds. Ensure compliance with provider contracts, state and federal regulations as well as company policies. Utilize knowledge of contracting terms, fee schedules, rates, CPT codes, ICD 10 codes and medical terminology to process claims.
Essential Duties and Responsibilities
Specific knowledge, skills and abilities
that Children’s Health provide for our patients and employees makes this an enjoyable place to be. As a system, there is a lot of room for professional and personal growth, with opportunities to further your education and your career.
Point of Care Coordinator