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Billing Operations Manager
2 weeks ago
This is an exciting opportunity for a motivated and organized individual to join our team as a Medical Claims Specialist. The successful candidate will be responsible for managing the entire claims process, from submission to follow-up, and will work closely with insurance companies to ensure timely and accurate payment.
Responsibilities:- Process and submit medical claims to insurance companies, ensuring accuracy and compliance with billing regulations and guidelines.
- Perform quality checks on all claims to minimize errors and discrepancies, resolving any issues promptly.
- Follow up on unpaid or rejected claims, identifying and addressing reasons for denial or non-payment.
- Communicate effectively with insurance companies, patients, and healthcare providers to resolve billing inquiries and discrepancies.
- Stay updated on changes in billing regulations, codes, and procedures to ensure compliance and maximize reimbursement.
- Maintain detailed records of billing activities, including claim status, payments, and adjustments.
- Collaborate with other team members to streamline billing processes and improve efficiency.
Required Skills and Qualifications:
