
Medical Claims Specialist
4 hours ago
Job Title: Medical Claims Specialist
">Description:
">The position of Medical Claims Specialist involves the management of patient accounts, coordination with healthcare providers and insurance companies, and ensuring timely reimbursement of medical expenses. This role requires strong organizational skills, attention to detail, and effective communication abilities.
">Responsibilities:
">- Manage patient accounts and maintain accurate records
- Coordinate with healthcare providers and insurance companies for claim submission and follow-up
- Generate revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
- Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up when payment lapses occur
- Maintain Medicare bad-debt cost reports
- Secure outstanding balance payments for care of employees
- Verify insurance eligibility for patients and ensure timely payment
- Handle denied claims and appeal if necessary
- Reconcile payments and post to patients' accounts
- Maintain compliance with HIPAA regulations
- Handle patient inquiries regarding their accounts
Requirements:
">To be successful in this role, candidates should have a high school diploma or equivalent and at least 2 years of experience in medical billing or a related field. They should also possess excellent communication and problem-solving skills.
">Benefits:
">This position offers a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.
">Other Information:
">Please note that this is a full-time position, and the ideal candidate will be available to work Monday through Friday, 8am to 5pm.
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