
Medical Claims Specialist
1 day ago
We are seeking a highly skilled and experienced Medical Claims Specialist to join our team. As a key member of our revenue cycle management team, you will play a crucial role in ensuring accurate and timely claims processing.
The ideal candidate should possess the following qualifications:
- At least 2 years of medical billing, claim follow-up, and insurance calls experience.
- A strong background in HITECH and HIPAA rules and regulations.
- Excellent working knowledge of Electronic Health Records (EHRs) and Medical Billing Software such as CureMD, Kareo, Practice Fusion, MS Office, Web Fax, Encoderpro, Payer Portals, and other related tools.
- Good knowledge of Medical Billing and Coding principles.
- Demonstrated ability to manage denials and appeals effectively.
- Research and management reporting skills.
- Strong verbal communication skills (English).
Responsibilities:
- Process medical claims accurately and efficiently.
- Follow up on outstanding claims and resolve any issues promptly.
- Conduct research and generate reports for management.
- Work effectively with a team to meet billing goals.
Requirements:
- Bachelor's degree in a related field or equivalent experience.
- Minimum 2 years of medical billing experience with a focus on US-based medical billing companies.
- Excellent communication and organizational skills.
- Able to work effectively in a fast-paced environment.
- Strong technical skills including proficiency in Microsoft Office and electronic health records systems.
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