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Job Requirements of Medical Claims Reconciliation Specialist:
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Employment Type:
Full-Time
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Education:
High School
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Location:
Dallas, TX (Onsite)
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Medical Claims Reconciliation Specialist
About the Role
We're looking for a detail-driven Claims Reconciliation Specialist to ensure clinical documentation is accurate, complete, and compliant before it moves to coding and billing. If you love catching errors, organizing information, and keeping workflows clean, this role is for you.
What You'll Do
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Review clinical records and supporting documentation
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Verify provider details, dates, locations, and service info
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Confirm time accuracy (start/stop times, breaks, hand-offs)
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Ensure all required compliance elements and modifiers are included
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Validate documentation for add-on procedures
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Check insurance eligibility and secure authorizations
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Match documentation to internal charge records
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Prepare and upload batches for data entry
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Maintain accuracy in practice management and EHR systems
What You Bring
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High school diploma required; Associate degree preferred
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2+ years in healthcare billing, claims review, or documentation auditing
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Knowledge of CPT, ICD-10, time-based billing, and modifiers
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Strong attention to detail and analytical skills
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Solid communication and problem-solving abilities
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Experience with practice management and EHR platforms