
Medical Biller US
3 days ago
The primary function of this position is to efficiently and accurately process medical charges, payments, and journal entries for patient accounts. This role involves meticulous work with various insurance companies to ensure correct filing information is verified on behalf of clients and patients.
Key Responsibilities:- Verify accurate insurance information for the client and patient.
- Prepare, review, and transmit claims using billing software, covering both electronic and paper claim processing.
- Timely follow up on unpaid claims within standard billing cycles.
- Conduct research and appeals for denied claims.
- Meet individual and team standards regarding quality and productivity.
- Able to perform eligibility verification and precertification through web or verbal communication with insurance companies.
- Credentialing knowledge would be a valuable asset.
- Denial management knowledge is also desirable.
A successful candidate will have a thorough understanding of medical billing guidelines, including HMO/PPO, Medicare, and state Medicaid. The ideal candidate should possess excellent communication and problem-solving skills, as well as the ability to work independently in a fast-paced environment.
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