Claims Processing & Billing Specialist

Melvilleonsitemid$49K$53K

Posted 1mo ago · via Workable

About this role

Claims Processing & Billing Specialist Full-Time | Hybrid Hourly Rate: $23.64 - $25.51 (commensurate with experience) The Claims Processing & Billing Specialist is responsible for the accurate and timely submission of institutional and professional medical claims. Reporting to the Manager of Claims Processing & Credentialing, this role reviews claims in the Raintree EMR system, resolves billing edits and clearinghouse exceptions, and works closely with payers, patients, providers, and internal teams to support efficient reimbursement. What You'll Do Submit accurate institutional (UB-04) and professional (CMS-1500) claims to commercial and government payers. Review and resolve claim edits, billing errors, clearinghouse exceptions, and rejections.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: less, rest, emr, teams, hipaa

2

Level fit

This role is mid-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in Melville. We weight your proximity and willingness to relocate.

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Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

lessrestemrteamshipaa

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