
Medical Claims Expert
1 day ago
The Medical Billing Specialist is a key role within our healthcare team responsible for monitoring the status of medical claims and ensuring timely payment.
- Key Responsibilities:
- Verify patient eligibility and benefits to ensure accurate coverage.
- Submit claims in a compliant manner and obtain prior authorizations as needed.
- Monitor claim status and conduct follow-up to ensure prompt payment.
- Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
- Generate and submit patient statements without patient interaction.
- Document all account activities accurately and maintain up-to-date knowledge of billing and coding guidelines.
- Exhibit proficiency with billing systems and leverage functionality for efficient processing of claims.
Benefits of this role include:
- Opportunity to work with a dynamic team in the healthcare industry.
- Chance to develop skills in billing and coding with ongoing education and training.
- Collaborative work environment with a focus on teamwork and communication.
Requirements for success in this position include:
- Proficiency in billing software and systems.
- Strong analytical and problem-solving skills.
- Excellent communication and customer service skills.
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