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3 days ago
We are seeking a Medical Claims Specialist to join our team.
About the Role:
This position involves working as a medical billing specialist, specifically in ophthalmology and optometry billing claims. The ideal candidate will have experience in managing accounts receivable, insurance billing, and claim submissions.
The role requires strong communication and customer service skills, as well as attention to detail and proficiency in medical billing software. Familiarity with healthcare insurance plans and HIPAA regulations is also necessary.
Key Responsibilities:
- Manage accounts receivable 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 delinquent accounts
- Collect delinquent accounts by establishing payment arrangements with patients 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
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