
Expert Medical Claims Specialist
21 hours ago
We are seeking a skilled Medical Claims Specialist with expertise in the Athena billing software to fill this key role.
The ideal candidate will be responsible for accurately processing and managing medical claims, verifying insurance eligibility and benefits, preparing and transmitting claims using the Athena software, and proactively following up on unpaid claims to ensure maximum reimbursement.
- Accurately process and manage medical claims.
- Verify insurance eligibility and benefits, along with patient registration data.
- Prepare and transmit claims using the Athena billing software.
- Proactively follow up on unpaid claims and research denied claims to ensure maximum reimbursement.
- Proven experience as a Medical Claims Specialist, 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.
As a Medical Claims Specialist, you will work directly with healthcare providers and patients to efficiently process and manage medical claims. Your attention to detail and knowledge of medical billing regulations will be essential in ensuring accurate and timely claims processing.
In addition to your technical skills, you will possess excellent communication and interpersonal skills, enabling you to effectively collaborate with our team and clients.
Skills and Qualifications- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Able to work in a fast-paced environment and meet deadlines.
- Familiarity with electronic health records (EHRs) and medical billing software.
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