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Medical Claims Specialist - Denver, CO

Quick Facts
Company Name:MBMS - Medical Billing and Management Services
Location:Denver, CO
Employment Type:Full Time
Category:Accounts Receivable
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Growing Medical Billing Company is currently seeking a Medical Claims Specialist in our Denver Colorado office location. 


  • Follow up of outstanding A/R all payers and/or including self-pay and/or including resolution of denials.
  • This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability.
  • Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports.
  • Responds to calls from patients about their hospital accounts
  • Conducts timely follow-up on all accounts

Skills and Knowledge:

  • Possess a high level of professionalism in appearance, behavior & communication
  • Minimum two years of current medical billing and collections experience
  • Strong working knowledge of medical terminology and procedures
  • Understands health insurance, Medicare, Medicaid, Medicare Advantage plans
  • Understands and can properly assess coding using ICD10, CPT, HCPCS
  • Ability to read EOBs and post payments accurately
  • Knowledge of medical office procedures
  • Intermediate knowledge of procedure coding
  • Ability to obtain details of medical insurance plans
  • Be able to take command of the insurance claim cycle
  • Skillfully handle claims disputes
  • Experience with multiple medical management computer software programs
  • Works independently
  • Have high ethical standards
  • Knowledge of diagnosis coding
  • Critically thinking skills and attention to detail
  • Communicate well; written and verbally
  • Basic knowledge of personal computers, Microsoft office products and networks
  • Intermediate skill level in Excel
  • High School diploma or GED


  • Minimum 2 years hospital/radiology/professional billing and account follow-up experience required
  • High School graduation or equivalent required

We offer Competitive Compensation and Excellent Benefits including:

  • Medical, Dental, Vision and Life insurance
  • 401K Plan
  • Holiday Pay and generous paid time-off plan
  • Tuition Reimbursement
  • STD and LTD
  • Supplemental Coverage¬†