Job Description

Job Purpose:

Join our team as a Medical Claims Specialist, where your expertise will play a crucial role in generating revenue by effectively monitoring and resolving outstanding medical claims. You will follow established protocols to ensure claims are reviewed and addressed promptly while verifying coding and payment accuracy in alignment with client needs and specifications.

Key Responsibilities:

Follow-Up: Engage with insurance companies to facilitate timely and complete payments on outstanding claims.
Claims Management: Research and submit corrected claims or appeals when necessary, ensuring all issues are addressed.
Payment Discrepancies: Communicate with insurance companies regarding any discrepancies in payments to achieve resolution.
Adjustments Processing: Accurately process and document adjustments, including write-offs, transfers, and chargebacks across multiple platforms.
Client Support: Provide additional information to clients to support the collection process and enhance client relationships.
Reimbursement Analysis: Analyze insurance reimbursement receipts to ensure accuracy and compliance.
Confidentiality: Safeguard sensitive information by adhering to professional standards, company policies, and all relevant federal, state, and local regulations.
Requirements:

Previous experience in medical billing is essential.
Strong understanding of medical billing terminology and processes.
Proficient in Microsoft Excel.
Highly detail-oriented and well-organized.
Ability to analyze information effectively.
Excellent documentation skills.
Strong time management skills.
Focused on delivering quality results.
General math skills.
Employment Type: Full-Time
Salary: $ 16.00 20.00 Per Hour

Job Tags

Hourly pay, Full time, Local area,

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