
Healthcare Claims Processor
7 days ago
The role of Medical Billing Specialist is pivotal in ensuring timely and accurate reimbursement. This specialist will work directly in the client's billing system, managing claim queues, and communicating with payers to resolve payment issues.
Key Responsibilities:
- Review and manage denied or aging claims in the client's billing system
- Identify root causes of denials and submit appropriate documentation or corrections
- Make outbound phone calls to insurance payers to check claim statuses and appeal denials
- Escalate recurring denial trends or system/process bottlenecks to the lead
- Maintain accurate and detailed notes of all payer interactions and claim activities
Qualifications:
- 1-3 years of experience in medical billing or revenue cycle management
- Familiarity with payer portals and billing systems (e.g., Kareo, Athena)
- High attention to detail and ability to work independently on repetitive tasks
- Strong written and verbal communication skills
- Comfortable speaking with payers over the phone
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