
Medical Billing Specialist
7 hours ago
Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.
We are currently looking for a Medical Billing Specialist who will be working with Connext's Client in the United States of America.
What's in it for you?
- Competitive compensation
- Perfect Attendance Bonus
- Life insurance
- HMO Insurance
- Great company culture
- 25% Night Differential
- Annual Increase
What is the job?
The Medical Billing Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies.
Job Description
- Verify patient, billing, and claim details using various hospital and physician systems to ensure accuracy.
- Perform compliant billing functions (primary, secondary, tertiary, rebills) across electronic, paper, and portal platforms.
- Edit and submit claims per payer-specific compliance requirements, addressing issues and missing information as needed.
- Communicate effectively with management, payers, and team members; respond promptly to emails and calls.
- Update patient demographics, insurance info, and track claims using control numbers while following prioritization and documentation protocols.
- Maintain patient confidentiality and uphold hospital policies, while actively participating in training and supporting departmental goals.
Required Qualifications
- At least 1 year of healthcare billing experience, ideally in a hospital or payer setting.
- Skilled in correcting billing errors, resubmitting claims, and resolving denials/underpayments.
- Familiar with EOBs, UB04/1500 forms, and medical coding (ICD-10, CPT, HCPCS, NCCI).
- Able to interpret payer contracts and coordinate third-party payer processes.
- Proficient in EMRs, billing systems, and tools like Outlook, Excel, and Internet Explorer.
- Strong communication, teamwork, and performance-driven work ethic.
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