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Claims Specialist
Claims SpecialistCFS • Reynoldsburg, OH, US
Claims Specialist

Claims Specialist

CFS • Reynoldsburg, OH, US
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  • [job_card.full_time]
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Claims Specialist

Our client in the medical supply industry is seeking a Claims Specialist to support a high-impact revenue recovery project tied to recent Medicare and Tricare processing changes. Salary is $41,600-$52,000, DOE

ABOUT OUR CLIENT

  • A well-established provider of medical equipment in the Columbus-area
  • Known for supporting both private and government healthcare networks
  • Collaborative, detail-driven office culture focused on accuracy and results
  • Casual work environment with an emphasis on professional accountability
  • Opportunity to make a measurable impact on recovering aged receivables and strengthening cash flow as the Claims Specialist

RESPONSIBILITIES OF THE CLAIMS SPECIALIST

  • The Claims Specialist will post claims in Bonafide, ensuring all data meets current HCPC and Tricare standards
  • The Claims Specialist will reconcile and correct rejected or pending claims, attaching required documentation and resubmitting for processing
  • Communicate directly with Medicare and Tricare representatives to verify claim receipt, payment status, and issue resolution
  • Track, document, and report claim and cash recovery progress to leadership

    • PREFERRED QUALIFICATIONS FOR THE CLAIMS SPECIALIST

  • Must have hands-on experience with both Tricare and Medicare billing
  • Must have direct experience using Bonafide billing software
  • Knowledge of claims processing, EOB reconciliation, and appeals workflow
  • Experience with Excel is a plus (basic to intermediate proficiency)

    • Salary is $41,600-$52,000, DOE

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