Medical Claims & Reimbursement Specialist

Fairview Hospital / Cleveland Clinic; Maryland; On-site; USD 40,000 - 60,000; Full time

Job summary

Fairview Hospital / Cleveland Clinic is seeking a Billing Specialist to oversee the medical claims follow-up and billing support process, ensuring accurate, timely reimbursement.

Responsibilities include following up on unpaid and rejected claims, verifying status with payers, correcting errors, preparing appeals with documentation, reviewing records for coding accuracy, communicating payer issues, and assisting with charge entry and patient inquiries.

Qualifications

• Strong attention to detail.
• Familiar with claims and payer processes.
• Accuracy in documentation.
• Effective communication with payers and patients.

Responsibilities

• Follow up on unpaid and rejected medical claims.
• Verify claim status with payers and monitor claim activity.
• Correct billing errors and resubmit claims as needed.
• Prepare and submit appeals with supporting documentation.
• Review medical records and claim forms for coding/billing accuracy and compliance.
• Communicate payer issues, track outcomes, and coordinate next steps.
• Assist with charge entry and related billing tasks.
• Respond to billing questions and support patient payment inquiries.

Skills

Attention to detail

Payer processes

Documentation accuracy

Effective communication

Job description

Fairview Hospital / Cleveland Clinic is seeking a Billing Specialist to oversee the medical claims follow-up and billing support process, ensuring accurate, timely reimbursement.

Responsibilities include following up on unpaid and rejected claims, verifying status with payers, correcting errors, preparing appeals with documentation, reviewing records for coding accuracy, communicating payer issues, and assisting with charge entry and patient inquiries.