
Ophthalmology Optometry Medical Claims Specialist
2 weeks ago
Medical Claims Specialist
We are seeking dedicated Medical Claims Specialists to work from home. The ideal candidate will have expertise in medical billing and coding, with a strong understanding of healthcare insurance plans and related policies.
Responsibilities include managing accounts receivables, coordinating with healthcare providers and insurance companies for claim submission and follow-up, generating revenue by making payment arrangements, collecting delinquent accounts, maintaining Medicare bad-debt cost reports, securing outstanding balance payments, verifying insurance eligibility, handling denied claims, reconciling payments and posting to patients' accounts, and maintaining compliance with HIPAA regulations.
Requirements include at least 3 years of experience as a US Medical Accounts Receivable/Medical Billing Specialist, strongly experienced in eyecare related billing in an optometric practice setting, knowledge of medical billing and coding practices, a strong understanding of the 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, and amenability to work in any US time zones.
Benefits:- Permanent Work From Home
- Permanent Weekends Off
- Great Company Culture and No Micromanagement
- Specialized Training
- Processor: Intel Core i5 or AMD Ryzen 5
- RAM: 8GB
- OS: Windows 11 Pro (Windows 10 Pro is acceptable)
- Internet Connectivity: Wired connection with at least 50 Mbps speed and back-up connection and Power Supply
- Hard Disk: SSD
- For Mac Processor: Apple M1 chip
- RAM: 8GB
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