
Medical Billing Professional
19 hours ago
The Medical Billing Specialist plays a crucial role in the healthcare revenue cycle. This position is accountable for monitoring medical claims, investigating rejections and denials, and documenting related account activities. The Medical Biller must post adjustments and manage collections for various payers, including Medicare, Medicaid, commercial insurance, and Workers' Compensation.
Responsibilities- Verify patient eligibility and benefits to ensure accurate coverage.
- Submit claims in a timely and compliant manner.
- Obtain prior authorizations for smooth claim approvals.
- Monitor claim status and conduct follow-up to ensure prompt payment.
- Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
- Generate patient statements (no patient interaction).
- Document all account activities accurately and on time.
- Post manual payments, apply adjustments, and manage collections from various types of payers.
- At least 2 years of experience in end-to-end revenue cycle processes, including eligibility verification, charge review, claims submission, A/R follow-up, denial management, collections, prior authorizations, payment posting, and handling medical records requests.
- Familiarity with DME and Apero systems is preferred.
- Candidates must demonstrate collaboration skills and ability to work in a fast-paced environment.
- Excellent customer service skills are necessary for interacting with stakeholders, including patients, insurance companies, and healthcare providers.
- Permanent remote work option
- Flexible working hours
- *Following US holidays
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