Medical Billing / Collections Specialist

Posted 6 months ago by Med Cube (Pvt) Ltd, Classification: Health & Medicine

The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of our clients'. The medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

Responsibilities:

  • Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication;
  • Responsible for correcting, completing, and processing claims for all payer codes;
  • Analyze and interpret that claims are accurately sent to insurance companies;
  • Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports;
  • Process appeals online or via paper submission;
  • Assist in reconciling deposit and patient collections;
  • Assist with billing audit related information;
  • Process refund requests;

QUALIFICATION REQUIREMENTS:

  • Minimum of two years of related experience in a business, medical or technical environment;
  • Previous experience in a medical office setting and/or experience with an Electronic
  • Medical Record a plus, eClinical Works experience preferred;
  • Customer service driven;
  • Understanding of medical terminology and insurance laws/guidelines;
  • Excellent organization and time management skills along with excellent oral and written communication skills;Strong team player;
  • Ability to learn quickly, build and maintain long term relationships and work with minimal supervision;
  • Strong written and verbal communication skills; strong analytical, organizational and time management skills required.

Should mention 2 non related referees.

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