
Medical Claims Processor
2 weeks ago
As a Medical Billing Specialist, you will be primarily focused on reducing claim denials and recovering aging or stale claims.
- Log into the client's billing system to review and manage denied or aging claims
- Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
- Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
- Escalate recurring denial trends or system/process bottlenecks to the client's Revenue Cycle Management lead
- Maintain accurate and detailed notes of all payer interactions and claim activities
- Assist with additional Revenue Cycle Management workflows as needed to support clean and efficient revenue operations
Proficiency in payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD)
High attention to detail and ability to work independently on repetitive or process-heavy tasks
Strong written and verbal communication skills
Comfortable speaking with payers over the phone and navigating insurance systems
Requirements:- 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
- Experience with denial management and recovery of aged claims
- Previous work with U.S.-based healthcare providers
- Background in a remote Revenue Cycle Management role
Able to work efficiently in a fast-paced environment
Ability to learn new software and technology quickly
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