Claims Director jobs in Canton, OH

Overview:
We are seeking a highly organized and detail-oriented Claims Specialist to join our team. As a Claims Specialist, you will be responsible for processing and managing insurance claims, ensuring accuracy and compliance with relevant regulations. This is an excellent opportunity for someone with strong analytical skills and a background in medical coding and billing.

Duties:
- Review and analyze medical records, invoices, and other documentation to determine the validity of insurance claims
- Verify insurance coverage and eligibility for claim submission
- Assign appropriate codes (ICD-10, ICD-9, DRG) to diagnoses, procedures, and treatments
- Ensure claims are submitted accurately and in a timely manner
- Follow up on outstanding claims, including appeals and denials
- Collaborate with healthcare providers, insurance companies, and patients to resolve claim issues
- Maintain accurate records of claims processed and payments received

Skills:
- Proficient in medical coding (ICD-10, ICD-9) and billing procedures
- Strong knowledge of Medicare guidelines and workers compensation laws
- Familiarity with DRG (Diagnosis Related Group) coding system
- Excellent attention to detail and ability to analyze complex medical records
- Strong organizational skills with the ability to prioritize tasks effectively
- Excellent communication skills, both written and verbal
- Ability to work independently as well as part of a team

If you have a passion for accuracy and enjoy working in a fast-paced environment, we encourage you to apply for the position of Claims Specialist. This position also requires learning and being a backup for at our front desk. Join our team and contribute to the efficient processing of insurance claims while ensuring compliance with industry standards.

Please note that only qualified candidates will be contacted for further consideration.

Job Type: Full-time

Pay: $17.00 - $19.00 per hour

Expected hours: 40 per week

Benefits:

• Employee discount
• Paid time off
• Retirement plan

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• In-person
• Office

Work Location: In person