
Medical Claims Specialist
8 hours ago
We are seeking a skilled Medical Biller/Accounts Receivable Specialist to join our team at Bizforce. The successful candidate will work from home and have the opportunity to work with a dynamic team in a fast-paced environment.
Responsibilities:- Manage accounts receivables and keep up-to-date 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 with patients when payment lapses occur
- Maintain Medicare bad-debt cost report
- 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
- At least 3 years of experience as US Medical AR Specialist
- Must have a Firenote EMR Experience
- Knowledge in hospice
- Knowledge of medical billing and coding practices
- Strong understanding of healthcare billing process
- Familiarity with healthcare insurance plans and related policies
- Experience with HIPAA regulations
- Excellent communication and customer service skills
- Strong attention to detail
- Strong computer skills and experience with medical billing software.
- Amenable to work in any US time zones (graveyard shift)
The ideal candidate will possess excellent communication and customer service skills, strong attention to detail, and strong computer skills and experience with medical billing software.
Key Results:- Reduce coding and billing error rate
- Achieve the target collections goals set and collections status report
- Reduced number of denials and complaints
- Achieve an accuracy rate of 99%
- Utilization of billing and coding software programs
This role requires strong analytical and problem-solving skills to manage complex billing processes. A high level of organization and ability to prioritize tasks effectively is essential. Additionally, effective communication skills are crucial for interacting with healthcare providers, patients, and other stakeholders.
This position offers opportunities for growth and development, with regular feedback and coaching to support professional growth. Our team is dedicated to delivering exceptional results and maintaining high standards of quality and customer satisfaction.
We are committed to providing a safe and inclusive work environment that values diversity and promotes work-life balance.
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