Job Description
Job Description
Medical Claim Administrative Specialist
Medical Supply Company/Specialty Pharmacy located in Fairfax, Virginia
Employment Type: Full-Time
Looking for candidates with strong insurance/billing knowledge and experience. This role is
an in-office position.
The Medical Claim and Administrative Specialist is responsible for timely processing and
Submission of clean medical claims to all payers including Medicaid, Medicaid Managed,
Commercial plans as well as patient billing. Responsibilities also include identifying and
Following up on claim rejections, denials and follow the process for claims correction,
Adjustments or appeals.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Include the following as well as other duties and responsibilities, which may be assigned:
Reviews claims for accuracy prior to timely claim filing electronically and using the
CMS 1500 paper claim forms.
Ensures the required supporting documentation is on file prior to claim submission.
Identifies and resolves claim denials and rejections, maintains a working knowledge
Of the payer’s appeals process
General Office duties like answer phones, filing and general office tasks
Verifying patient eligibility with insurance companies, processing/fulfilling equipment
Orders
Adherence to established productivity and quality thresholds, company policies and
Procedures
QUALIFICATIONS:
To perform this job successfully, an individual must be able to interact professionally with
Insurance plans, patients, and doctor’s offices as well as with co-workers and the general
Public. The ideal candidate must be reliable, punctual, a fast learner with an ability to handle
Multiple tasks simultaneously. This individual should demonstrate an ability to problem
Solve, prioritize and organize, be friendly, and possess great customer service skills.
EDUCATION AND/OR EXPERIENCE:
High School diploma or higher and 1-3 years of medical billing experience or similar. College degree is a plus. Fairfax county residents encouraged to apply. Position may become full time.
Detail oriented individual with medical billing and collections experience or
Equivalent.
Durable Medical Equipment, Medical Office or Pharmacy experience preferred but
not required.
Experience & ample knowledge of any billing Software such as Office Ally, Emdeon or
QuickBooks software preferred but not required.
Spanish or other language is not required but a plus.
Proficiency with Microsoft Office a plus.
As an accreditation organization, we are highly regulated and will provide in house
trainings such as HIPAA, FWA training among others to maintain compliance.
Company DescriptionFounded in 1999, DynQuest is a group of companies specialized in medical equipment & supplies, specialty pharmacy and home healthcare.
As an established community partner, our primary focus is on quality patient care and outstanding professional service—all supported by a network of experienced healthcare professionals and a host of dedicated staff. Our clients include government agencies, health management organizations, private healthcare networks, hospital and assisted living facilities.
Company Description
Founded in 1999, DynQuest is a group of companies specialized in medical equipment & supplies, specialty pharmacy and home healthcare. \r\nAs an established community partner, our primary focus is on quality patient care and outstanding professional service—all supported by a network of experienced healthcare professionals and a host of dedicated staff. Our clients include government agencies, health management organizations, private healthcare networks, hospital and assisted living facilities.