
Accurate Claims Processor
2 days ago
We are looking for an Accurate Medical Claims Specialist to join our team. The successful candidate will be responsible for accurately and efficiently handling medical billing processes, ensuring compliance with healthcare regulations, and maintaining high-quality standards in all billing procedures.
Responsibilities include:
- Average accurate medical codes for timely reimbursement.
- Prepare and submit claims to insurance companies, ensuring accuracy, completeness, and adherence to payer requirements.
- Monitor outstanding claims and follow up with insurance companies to resolve billing issues, denials, or rejections.
- Post payments, adjustments, and denials accurately in the billing system, reconciling discrepancies and ensuring proper documentation.
- Generate patient statements, answer billing inquiries, and assist patients with payment plans or financial arrangements as needed.
Key qualifications:
- Proven experience as a Medical Biller in a US healthcare setting or similar role.
- Proficiency in medical billing software and electronic health records (EHR/EMR) systems.
- In-depth knowledge of medical terminology, coding (CPT, ICD-10, HCPCS), and insurance billing procedures.
- Strong understanding of healthcare compliance and privacy regulations (HIPAA).
- Excellent communication skills with the ability to interact professionally with patients, insurance companies, and healthcare providers.
- 2 to 3 years of experience in medical billing.
- Knowledge of Medicare, Medicaid, IPAs & Medicare advantage plans.
- Proficiency in Microsoft Office Suite and other relevant software.
Benefits:
This role offers a competitive salary and excellent benefits package.
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