Medical Billing Specialist - Evernorth - Remote

Responsibilities: Manage third-party billing and collections to ensure timely submission and resolution of medical and pharmacy claims. Review NCPDP claim rejections and analyze billing trends to maximize reimbursement and improve processes.

Requirements: Requires a high school diploma and one to three years of experience in healthcare billing or revenue cycle management. Proficiency in Microsoft 365 and knowledge of home infusion billing and medical coding is preferred.

Key skills: Medical Billing, Collections, NCPDP Claims, Home Infusion Billing, ICD-10, CPT, HCPCS, Microsoft 365, HCN 360, CPR+, Medicare Billing, Revenue Cycle Management, Analytical Skills, Problem Solving, Communication Skills, Attention To Detail

Keywords: Medical Billing, Pharmacy Claims, NCPDP, Home Infusion, Revenue Cycle, ICD-10, CPT, HCPCS, Medicare, DME MAC, HCN 360, CPR+, Microsoft 365, Claims Processing, Reimbursement, Denials Management, Appeals, Healthcare Administration, Medical Terminology