
Medical Billing Specialist
10 hours ago
We are seeking an experienced Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for reviewing appeals for medical necessity, faxing appeals to the appropriate party, and following up on appeals to ensure timely processing.
Responsibilities- Review appeals for medical necessity and determine whether they meet the necessary criteria
- Fax appeals to the designated carrier or payer
- Set reminders to follow up on appeals within one week of submission
- Follow up again closer to the turnaround time (TAT) for the determination and update the team accordingly
- Confirm in-network provider ability to service new members
- Attend weekly team meetings and complete assigned tasks
In addition to these responsibilities, you will also have other duties as assigned by management.
Requirements- Bachelor's degree or equivalent experience
- At least 2 years of experience in medical billing, including provider credentialing, authorizations, and reimbursement
- Excellent organizational and communication skills
- Able to work independently with minimal supervision
- Detail-oriented with strong analytical skills
- Able to prioritize tasks and meet deadlines
- Excellent computer skills, including Microsoft Office and internet navigation
- Ability to maintain confidentiality and handle sensitive information
- Permanent remote work arrangement
- Competitive hourly rate based on performance
- Opportunity for career growth and professional development
- Holiday pay and paid time off
- Access to company resources and support
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