
Medical Claims Specialist
1 week ago
**Medical Biller Role Description**
Job Summary:We are seeking a highly skilled and detail-oriented medical biller to join our team. The successful candidate will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment.
Responsibilities:- Prepare and submit billing data and medical claims to insurance companies.
- Maintain accurate and up-to-date patient medical information.
- Prepare bills and invoices, and document amounts due for medical procedures and services.
- Collect and review referrals and pre-authorizations.
- Monitor and record late payments.
- Follow up on missed payments and resolve financial discrepancies.
- Examine patient bills for accuracy and request missing information.
- Investigate and appeal denied claims.
- Maintain billing software by updating rate changes, cash spreadsheets, and current collection reports.
The ideal candidate must possess in-depth knowledge of billing software and medical insurance policies. A bachelor's degree in business, healthcare administration, accounting, or a relevant field is required. Additionally, at least 2 years of experience as a medical biller is necessary.
Excellent written and verbal communication skills, outstanding problem-solving and organizational abilities, and the ability to multitask and manage time effectively are essential qualities for this role.
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