
Medical Claims Processor
2 days ago
We are seeking a Medical Billing Specialist to join our team at Reliable Healthcare Billing (RHB), a subsidiary of IKONIC Solution. The successful candidate will possess a minimum of 2 years of experience in medical billing and revenue cycle management, with exceptional communication skills.
The ideal candidate will have a bachelor's degree in healthcare administration or a related field and certification in medicine/medical/health care. Proficiency in spoken English is required, with native and bilingual capabilities being a plus.
Key Responsibilities- Verify patient demographic and insurance details prior to claim submission.
- Prepare and submit claims electronically or via paper format to insurance companies.
- Obtain authorization from insurance companies as needed.
- Follow up on denied or rejected claims to facilitate timely resubmission.
- Analyze and interpret insurance Explanation of Benefits (EOBs) to identify payment disparities.
- Process patient payments, adjustments, and refunds within the billing system.
- Provide professional responses to inquiries from patients, insurance entities, and healthcare providers.
- Stay up-to-date on evolving billing guidelines and reimbursement protocols.
- Minimum 2 years of experience in medical billing, including claim submission, payment posting, follow-ups, eligibility checks, and denial management.
- Proficiency in electronic health record (EHR) systems and billing software.
- Competence in utilizing Microsoft Office applications for generating billing financial reports.
- Familiarity with various medical specialties and strong analytical aptitude.
- Exceptional written and verbal communication skills.
- Ability to work independently and as part of a team in a fast-paced environment.
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