Claims & Appeals Specialist II
On-site · Corpus Christi, Texas, United States
Job Summary
Claims & Appeals Specialist II position at Driscoll Health System focused on auditing medical coding, managing claims payments, and overseeing the claims appeal process for provider and member appeals. Responsibilities include reviewing appeals, researching billing questions, coordinating benefit activities, and identifying potential fraud or abuse. Requires certified medical coder credentials and 3-5 years of related experience in an acute care hospital setting. Reports to the Director of Claims Oversight and participates in bi-weekly claims meetings.
Required Qualifications
- High school diploma or GED; associate’s degree or AA preferred
- 3-5 years related experience and/or training; coding in an acute care hospital setting preferred
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