
Healthcare Claims Administrator
4 hours ago
A Medical Biller plays a crucial role in healthcare facilities, focusing on the submission of claims to insurance companies.
They are responsible for processing data from medical coders, ensuring timely claim processing and payment, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.
Key Responsibilities- Managing calls from and to patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification
- Supporting denial resolution and follow-ups
- Correcting and resubmitting denied claims
- Submitting electronic and paper claims to primary, secondary, and third-party insurance companies
- Verifying explanation of benefits and recording relevant information
- Providing administrative support including data entry, insurance verification, follow-ups, and conducting collections for outstanding balances and receivables
- Interest in US Healthcare Claims Customer Service
- Excellent verbal and written English communication skills
- Customer service experience in Insurance Billing
- HIPAA Certification is beneficial
- Attention to detail
- Objectivity
- Organizational skills
- Familiarity with computer systems
- Positive work attitude and willingness to go beyond expectations
- Openness to working night shifts
- Computer Processor: Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher
- Computer Memory/RAM: 8.00 GB
- Computer Operating System: At least Windows 10/11 64-bit or macOS Ventura
- Headset: Any USB-type headset with noise-cancelling feature
- Camera: Capable of clear and crisp video output
- Backup Computer Processor: Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher
- Backup Computer Memory/RAM: 8.00 GB
- Backup Computer Operating System: at least Windows 10/11 64-bit or macOS Ventura
- Backup Headset: Any USB-type headset with noise-cancelling feature (Optional)
- UPS: Must be capable of powering your workstation for at least 3 hours
- UPS: Typically a device with 240Wh or higher will be sufficient
- Internet Connection: DSL / Fiber - Minimum of 8mb/s
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