Professional Claims Processor
2 days ago
The Medical Biller/Accounts Receivable Specialist role is a detail-oriented and proactive position that supports the billing and revenue cycle management team.
Key Responsibilities:
- Prepare and submit medical claims to insurance companies (electronic and paper).
- Post payments from insurance companies and patients into the Electronic Medical Record system.
- Reconcile patient accounts and identify discrepancies or payment issues.
- Follow up on unpaid, denied, or underpaid claims with insurance companies.
- Review Explanation of Benefits for accuracy and resolve discrepancies.
- Maintain an organized accounts receivable system and generate regular aging reports.
- Work closely with the administrative team to ensure timely revenue collection.
- Assist with correcting billing errors and resubmitting claims when necessary.
Essential Requirements:
- Proven experience in medical billing, accounts receivable, or claims management.
- Familiarity with Electronic Medical Record systems and Microsoft Office Suite.
- Strong attention to detail and organizational skills.
- Excellent communication skills, both written and verbal.
- Ability to work independently and manage time effectively in a remote environment.
- Knowledge of CPT, ICD-10, and insurance billing guidelines is beneficial.
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