
Senior Medical Billing Specialist
2 weeks ago
Job Description:
- Accurately post medical charges, payments, and journal entries to patient accounts.
- Work directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.
- Verify insurance eligibility and benefits, along with patient registration data.
- Prepare and transmit claims using advanced billing software.
- Proactively follow up on unpaid claims and research denied claims to ensure maximum reimbursement.
- Expertly appeal denied claims, navigating complex insurance guidelines.
- Ensure strict compliance with all HIPAA regulations and industry standards.
- Perform eligibility verification and obtain accurate claim statuses from various insurance payers.
- Review patient bills and read superbills for precise charge entries.
- Post Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) from diverse systems.
Requirements:
- Proven experience as a Medical Biller, specifically with extensive hands-on experience using the Epic billing software/EMR.
- Solid understanding of US Healthcare insurance guidelines and medical billing best practices.
- Demonstrated ability to perform eligibility and benefit verification.
- Proficiency in obtaining claim statuses and navigating payer portals.
- Experience with charge entry from superbills and posting ERA/EOB.
- Strong commitment to maintaining HIPAA compliance.
- Excellent attention to detail and organizational skills.
- Effective communication skills, both written and verbal.
Benefits:
- Remote work arrangement with flexibility and comfort.
- Mid-shift schedule supporting work-life balance.
- Competitive salary and performance bonus opportunities.
- Paid training and comprehensive support for success.
- HMO benefits and government-mandated benefits.
- Opportunities for professional growth and advancement in a thriving RCM industry.
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