
Medical Claims Processor
2 days ago
Medical Billing Specialist Role
Billing and AR Responsibilities- Access billing software to manage claims.
- Work with insurance companies and healthcare providers for timely payments.
- Review Explanation of Benefits (EOBs).
- Follow up on unpaid claims until resolved.
- Document claim follow-up activities.
- Correct claim errors, initiate rebilling as necessary.
- Review clearinghouses for denials and make corrections.
- Research payer-specific billing guidelines and implement best practices.
- Handle appeals and reconsiderations for denied claims.
- Collaborate with insurance representatives to resolve claim issues.
- Education:Bachelor's or Master's degree from a reputable institution.
- Familiarity with clearinghouses and EMR systems.
- Skills: Strong communication and interpersonal skills, proficiency in Microsoft Office Suite, excellent problem-solving and multitasking abilities, high attention to detail.
- Audit clinical charting for accuracy.
- Prepare and submit claims through EMR and clearinghouses.
- Maintain accurate data entry in master databases.
- Collaborate with Admissions and AR teams for timely claim processing.
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