
Medical Claims Analyst
8 hours ago
Job Description
">The Medical Billing Specialist will be responsible for accurate and efficient handling of medical billing processes, ensuring compliance with healthcare regulations, and maintaining high-quality standards in all billing procedures.
">Key Responsibilities:
">- ">
- Assigning medical codes (CPT, ICD-10, HCPCS) to diagnoses and procedures for timely reimbursement.">
- Preparing and submitting claims to insurance companies, ensuring accuracy, completeness, and adherence to payer requirements.">
- Monitoring outstanding claims and following up with insurance companies to resolve billing issues, denials, or rejections.">
- Posting payments, adjustments, and denials accurately in the billing system, reconciling discrepancies and ensuring proper documentation.">
- Generating patient statements, answering billing inquiries, and assisting patients with payment plans or financial arrangements as needed.">
- Staying updated with healthcare regulations, coding guidelines, and insurance policies to ensure compliance and minimize billing errors.">
Requirements:
">- ">
- Proven experience as a Medical Biller in a US healthcare setting or similar role.">
- Proficiency in medical billing software and electronic health records (EHR/EMR) systems.">
- In-depth knowledge of medical terminology, coding (CPT, ICD-10, HCPCS), and insurance billing procedures.">
- Strong understanding of healthcare compliance and privacy regulations (HIPAA).">
- Excellent communication skills with the ability to interact professionally with patients, insurance companies, and healthcare providers.">
- Detail-oriented, analytical mindset, and ability to work efficiently in a fast-paced environment.">
- Must have 2 to 3 years of experience.">
- Knowledge of Medicare, Medicaid, IPAs, and Medicare Advantage plans.">
- Proficiency in Microsoft Office Suite and other relevant software.">
- Bachelor's degree in business administration or related field.">
Why Work With Us
">We are a leading healthcare organization dedicated to delivering high-quality patient care and exceptional customer service. Our team is passionate about making a difference in the lives of our patients and community.
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