Medical Billing Specialist
5 days ago
Key Responsibilities:
- Accurate Claims Creation: Prepare and submit claims to insurance companies within the required timeframe.
- Timely Claim Submission: Oversee the submission of claims to insurance companies, ensuring adherence to deadlines to avoid delays in payments.
- Claim Denial Management: Address claim denials by coordinating resubmissions, crafting detailed appeal letters, and working toward resolutions.
- Denial Mitigation Strategies: Develop and implement proactive strategies to minimize claim denials, ensuring continuous improvement in billing processes.
- Specialty and Carrier-Specific Knowledge: Stay updated on the latest billing requirements, guidelines, and regulations specific to various medical specialties, states, and insurance carriers.
- Policy and Procedure Adherence: Follow all client and team policies, procedures, and guidelines to maintain consistency, compliance, and accuracy.
Requirements:
- Experience: Open to candidates with or without experience, though individuals with 1-2 years of medical billing experience will be given priority consideration.
- Insurance Knowledge: Familiarity with various insurance policy types, including PPO, HMO, and MediCal, is preferred but not required.
- Practice Management Systems: Ability to navigate Healthcare Practice Management systems is a plus, though not mandatory.
- Skills: Strong attention to detail, accuracy, and excellent time management skills are essential.
- Communication: Must possess excellent communication skills in English, both written and verbal.
- Data Entry: Proficient data entry skills, with a typing speed of 40 WPM or faster, are required.
- Confidentiality: Must demonstrate the ability to work with and protect confidential information.
- Consultancy Role: Must be open to working in a consultancy capacity, with flexibility in project-based or contract work as needed.
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