
US Healthcare Medical Claims Specialist
3 days ago
**Medical Biller Role Overview**
We are seeking a skilled medical biller to support US healthcare client revenue cycle management using Athena billing software.
The successful candidate will possess strong analytical and problem-solving skills, as well as excellent communication and interpersonal abilities.
Responsibilities include:
- Accurately posting medical charges, payments, and journal entries to patient accounts
- Working directly with insurance companies, healthcare providers, and patients to process and manage claims
- Verifying insurance eligibility and benefits, along with patient registration data
Additional responsibilities include:
- Preparing and transmitting claims using Athena billing software
- Proactively following up on unpaid claims and researching denied claims to ensure maximum reimbursement
- Appealing denied claims, navigating complex insurance guidelines
- Maintaining strict compliance with HIPAA regulations and industry standards
- Performing eligibility verification and obtaining accurate claim statuses from various insurance payers
- Reviewing patient bills and reading superbills for precise charge entries
- Posting Electronic Remittance Advice ERA and Explanation of Benefits EOB from diverse systems
- Proven experience as a Medical Biller, specifically with extensive hands-on experience using Athena billing software/EMR
- Solid understanding of US healthcare insurance guidelines and medical billing best practices
- Demonstrated ability to perform eligibility and benefit verification
- Proficiency in obtaining claim statuses and navigating payer portals
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