Medical Claims Specialist

7 days ago

Sydney, New South Wales, Australia beBeeMedicalClaims Full time $40,000 - $96,000

Job Opportunity:

We are seeking a detail-oriented Medical Claims Specialist to review and audit medical bills for accuracy and compliance with applicable state fee schedules, payer policies, and discount programs.

Key Responsibilities:

  • Review and audit medical claims for accuracy and compliance
  • Enter billing data into internal systems with a focus on speed and precision
  • Reference applicable guidelines and documentation to resolve billing discrepancies
  • Communicate with internal teams or external partners as needed
  • Maintain consistent productivity and accuracy in line with departmental standards

Requirements:

  • Knowledge of medical terminology, billing guidelines, and fee schedules
  • Problem-solving skills and ability to manage multiple priorities
  • Proficient in Microsoft Office applications
  • Great communication skills both written and verbal
  • Prior experience with medical bill review is preferred

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