Expert Medical Billing Specialist Wanted
6 days ago
Key Roles and Responsibilities:
- We are seeking an experienced Medical Biller to accurately post medical charges, payments, and journal entries to patient accounts.
- The successful candidate will work directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.
The ideal candidate will be responsible for verifying insurance eligibility and benefits, as well as patient registration data. They will also prepare and transmit claims using the Athena billing software.
The selected individual will proactively follow up on unpaid claims and research denied claims to ensure maximum reimbursement. They will expertly appeal denied claims while navigating complex insurance guidelines and ensuring strict compliance with HIPAA regulations and industry standards.
The Medical Biller will perform eligibility verification and obtain accurate claim statuses from various insurance payers. They will review patient bills and read superbills for precise charge entries. Additionally, they will post Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) from diverse systems.
Requirements:A proven track record in medical billing, particularly with extensive hands-on experience using the Athena billing software/EMR.
A solid understanding of US healthcare insurance guidelines and medical billing best practices is essential.
Demonstrated ability to perform eligibility and benefit verification, as well as proficiency in obtaining claim statuses and navigating payer portals.
Experience with charge entry from superbills and posting ERA/EOB is a must.
A strong commitment to maintaining HIPAA compliance and excellent attention to detail and organizational skills are required.
Effective communication skills, both written and verbal, are necessary for success in this role.
Preferred Qualifications:Knowledge of credentialing processes and experience in denial management and appeals are preferred but not required.
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