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2 days ago
Medical Billing Specialist
Job Overview:We are seeking an experienced Medical Billing Specialist to join our team. As a key member of our revenue cycle management team, you will be responsible for preparing and submitting medical claims to insurance companies.
Key Responsibilities:- Prepare and submit accurate and complete medical claims to insurance companies.
- Review patient billing data for accuracy and completeness.
- Follow up on unpaid or denied claims and initiate appeals as necessary.
- Post insurance and patient payments accurately in the billing system.
- Verify insurance benefits and eligibility prior to claim submission.
- Collaborate with credentialing, coding, and front office teams to resolve billing issues.
- Maintain up-to-date knowledge of payer policies, coding updates, and billing regulations.
- Generate regular reports on billing status, collections, and aging accounts.
- Bachelor's degree preferred.
- Prior experience in medical billing or healthcare revenue cycle management.
- Familiarity with CPT, ICD-10, and HCPCS codes.
- Understanding of EOBs (Explanation of Benefits) and claim adjustment processes.
- Proficiency in medical billing software and Microsoft Office.
- Excellent attention to detail and problem-solving skills.
- Strong verbal and written communication skills.
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