Remote Claims Resolution Specialist (CPC/CPC-A)

TEKsystems; United States; Remote; USD 28,000 - 40,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan

Life Insurance (employee and depend.))

Short and long-term disability

HSA

Job summary

TEKsystems is seeking a contractor to determine payment outcomes for medical claims, focusing on CPC/CPC-A certified professionals. The role involves data validation and making informed determinations within TEKsystems' internal claims system, with emphasis on emergency service billing variations.

The position is fully remote, but based out of Tampa, FL, with standard M-F hours. Active CPC or CPC-A certification is required; coding is not performed directly.

Qualifications

• Entry level coding preferred with little coding experience.
• CPC or CPC-A certification active/update to date.
• Experience coding/billing emergency services is helpful but not required.
• Billers with CPC-A who want to move into coding with understanding of codes and insurance parameters.

Responsibilities

• Make payment determinations for claims and argue the correct payout.
• Validate/verify data and determine a side (not coding).
• Work in the internal claims database/system.

Skills

Coding

CPC

CPC-A

Claims resolution

Payment determination

Billing

Electronic health record

Education

CPC or CPC-A certification

Job description

TEKsystems is seeking a contractor to determine payment outcomes for medical claims, focusing on CPC/CPC-A certified professionals. The role involves data validation and making informed determinations within TEKsystems' internal claims system, with emphasis on emergency service billing variations.

The position is fully remote, but based out of Tampa, FL, with standard M-F hours. Active CPC or CPC-A certification is required; coding is not performed directly.