
Healthcare Claims Examiner
7 days ago
Responsibilities:
- Verify patient insurance coverage and eligibility.
- Prepare and submit accurate medical claims to insurance companies.
- Follow up on unpaid or denied claims and resolve billing issues.
- Post payments and adjustments to patient accounts.
- Generate and send patient statements.
- Maintain up-to-date knowledge of coding regulations (CPT, ICD-10, HCPCS) and insurance guidelines.
- Communicate with patients, insurance companies, and healthcare providers to resolve billing inquiries.
- Ensure compliance with federal, state, and payer-specific regulations.
- Maintain accurate and organized billing records.
Requirements:
- Minimum 2 years of experience in medical billing.
- Strong knowledge of medical terminology and billing codes.
- Proficient with medical billing software and MS Office Suite.
- Excellent communication and problem-solving skills.
- Detail-oriented with strong analytical abilities.
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