Medical Claims Specialist Team Lead
12 hours ago
Job Summary:
We are seeking an experienced AR Team Lead to join our team at Visaya Knowledge Process Outsourcing Corp. The successful candidate will be responsible for leading our medical claims team and ensuring timely and accurate claims processing.
Key Responsibilities:
• Verify patient eligibility and obtain necessary authorizations
• Update patient demographics and insurance information
• Research and resolve unpaid or denied claims
• Monitor claims for missing information and authorization
• Contact payers to secure payment of claims
• Access client systems for payment, patient, and claim information
• Maintain confidentiality of patient information
• Perform other related duties as required
Qualifications & Competencies:
• 3+ years of medical collections/billing experience
• 2+ years of experience as a Team Leader
• Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI
• Expert knowledge of third-party billing guidelines
• Expert knowledge of billing claim forms (UB04/1500)
• Working knowledge of Microsoft Word and Excel
• Must be willing to work onsite
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