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GT Independence · 2 days ago

Claims Specialist (CA)

Silver Spring, Maryland, United States

Full-time

Hybrid

Entry Level

$16.26/hr - $25.21/hr

2+ years exp

GT Independence is a company focused on providing self-determination services, and they are seeking a Claims Specialist to maintain a core understanding of company operations. The Claims Specialist will be responsible for preparing billing data, ensuring compliance with contractual provisions, and collaborating with staff to optimize service delivery.

Financial ServicesHome Health CareMedicalService Industry

Responsibilities

Preparation of billing data to be used in the billing of payers

Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports

Submit invoices to agencies

Applies payments

Collects on unpaid claims

Prepares advance reconciliations and applies payments to the general ledger

Enters information into computer databases for effective record keeping

Collaborates with other staff members to optimize delivery of services

Ensures all compliance standards are met for audit purposes

Maintains confidentiality of records relating to clients

Identifies opportunities to improve our processes

Upholds company values and mission

Other duties as assigned

Qualification

Microsoft ExcelAdministrative proceduresBasic math skillsTeam participationWritten communicationOral communicationAttention to detail

Required

High School Diploma or GED required

2 years of experience relevant to the work performed

Experience with Microsoft Office products is necessary, specifically Microsoft Excel

Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology

Excellent written and oral communication skills

Ability to plan and organize daily work to meet strict deadlines

Strong attention to detail

Able to work with numbers and apply basic math skills to daily tasks

Strong ability to participate on a highly effective team