High Volume Medical Claims Specialist
2 weeks ago
We are seeking a skilled Medical Biller to manage billing processes and secure payments from third-party payers. The ideal candidate will have strong communication, interpersonal, and organizational skills.
Key Responsibilities:- Coordinate with various departments to post charges to resident accounts.
- Review charges for accuracy and completeness.
- Prepare and issue accurate billing statements to the correct payer.
- Monitor submissions daily to address denials or requests for additional information (ADRs).
- Coordinate with departments to submit ADR information within 10 days of receipt.
- Follow up on unpaid claims/denials within company standard billing cycle timeframes.
- Document all communications and collection attempts.
- Provide supporting documentation to payers upon request.
- Maintain A/R Aging levels for assigned accounts within company guidelines.
- Two to three years of experience processing skilled nursing medical claims.
- One or more years of experience in high-volume, short-term rehab environments.
- Knowledge of billing and related software preferred.
- MatrixCare/Answers on Demand experience is a plus.
- Strong communication, interpersonal, and organizational skills.
- Detail orientation.
- Ability to manage multiple priorities.
- Discretionary judgment.
- Ability to read, write, and speak English proficiently.
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Medical Claims Specialist
2 weeks ago
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