Medical Payment Specialist

Job Summary

A company is looking for a Medical Payment Specialist.

Key Responsibilities:

• Reviews and adjudicates complex medical bills in accordance with established policies and procedures
• Posts approved bills for payment and issues Explanation of Benefits (EOB) for denied payments
• Responds to internal/external inquiries regarding the status of medical bills

Required Qualifications:

• High School Diploma/GED required
• Minimum of 2-3 years of experience adjudicating medical bills
• Preferred work experience in a property and casualty insurance environment
• Requires knowledge of medical terminology and the medical bill adjudication process
• Preferred knowledge of NJ Workers' Compensation and No-Fault laws