Healthcare Billing Professional
6 days ago
Job Description:
The role of a Healthcare Billing Professional is a crucial one, requiring strong organizational and communication skills to manage the billing and collection processes in a healthcare environment.
Key Responsibilities:
- Billing Management: Manage billing for Medicare, Medicaid, and other third-party insurance claims, ensuring timely and accurate submission
- Claims Processing: Review and process claims in accordance with government regulations and insurance policies
- Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments
- Compliance: Ensure all billing practices are in compliance with regulatory standards, including HIPAA and payer-specific guidelines
- Patient Billing: Generate and distribute patient bills, answer patient billing questions, and work to resolve billing discrepancies
- Denials & Appeals: Address claim denials and process appeals as necessary, following up with insurance companies to ensure proper payment
- Collaboration: Work closely with the finance department, medical records team, and clinical staff to gather necessary documentation and ensure billing accuracy
Requirements:
- Experience: At least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities
- Knowledge: Strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology
- Technical Skills: Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite
- Attention to Detail: High level of accuracy in billing and documentation
- Communication Skills: Ability to communicate effectively with patients, families, insurance representatives, and staff members
This Role Offers:
A remote position that requires a healthy working environment and a commitment to delivering high-quality work products. We seek a highly detail-oriented individual who can excel in this role and contribute to our organization's success.
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