
Senior Billing Specialist
7 days ago
We are seeking a highly skilled and experienced billing professional to manage and resolve out-of-network claims after initial submission. The ideal candidate will have a strong focus on claim follow-up, denial management, and efficient resolution of OON claims, while staying informed on new payers and policies.
Key Responsibilities:
- Resolve OON claims post-submission, including denials and underpayments.
- Communicate with insurance providers, healthcare facilities, and patients to address OON issues.
- Ensure accurate processing of claims, including eligibility verification and benefit coordination.
- Track and report OON claim status to ensure timely resolution.
- Stay updated on new payers, policies, and industry changes affecting OON claims.
Qualifications:
- Experience in OON claim resolution, with a focus on post-submission issues.
- Strong knowledge of insurance processes, OON billing guidelines, and new payer policies.
- Excellent communication, problem-solving, and organizational skills.
- Proficiency in Excel.
Why Choose This Role:
- Out-of-network bonus opportunities
- Work in a professional and supportive environment.
- Opportunity for career growth and development.
- Competitive salary and monthly bonuses.
- Comprehensive training to ensure your success in the role.
- Medical insurance benefits.
- Incremental salary increases upon successful completion of probation periods.
- Travel allowance (for female employees).
About the Role:
This is an exciting opportunity for a skilled billing professional to join our team and make a real difference in the lives of patients and healthcare providers.
If you are passionate about delivering exceptional results, possess excellent communication skills, and are ready to take on new challenges, we encourage you to apply.
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