
Medical Billing Specialist
15 hours ago
We are seeking a highly skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for ensuring timely and accurate payment from insurance companies.
Your primary duties will include:
- Accessing billing software systems to review claims for accuracy and completeness.
- Collaborating with insurance companies and healthcare providers to resolve claim issues in a timely manner.
- Following up on unpaid claims until payment is received.
- Maintaining detailed records of claim follow-up activities.
- Communicating effectively with billers to ensure accurate and efficient rebilling.
- Reviewing clearing houses for denials and taking necessary corrective actions.
- Working on Accounts Receivable to ensure prompt payment from patients.
- Collaborating with insurance representatives to resolve claim issues.
- Taking the initiative to research payer billing guidelines to improve efficiency.
- Developing knowledge of appeals processes and claims reconsiderations.
- Familiarity with Nephrology CPT codes, modifiers, Dx codes, and billing guidelines.
- Able to read and understand Explanation of Benefits (EOBs).
Requirements
- 2-3 years of experience in medical billing, preferably in the accounts receivable department.
- Experience working with clearing houses such as GE Centricity.
Education
- Bachelor's or Master's degree from a reputable institution.
Skills
- Proficient in Microsoft Office Suite, including Outlook, Word, and Excel.
- Excellent English speaking, writing, and listening skills.
- Strong written and verbal communication skills.
Work Details
Workdays: Monday - Friday
Work hours: 6 pm – 3 am PKT (Night shift)
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