Employer Industry: Medical Billing Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive salary with a focus on timely claims reimbursement
- Supportive and collaborative work environment
- Chance to work with a variety of healthcare professionals and improve billing processes
- Role involves critical thinking and problem-solving in a fast-paced setting

What to Expect (Job Responsibilities):
- Work on claim errors in the claims management system to ensure timely submissions
- Review and prepare claims for both manual and electronic billing submissions
- Analyze insurance rejections to determine appropriate actions for resolution
- Verify patient demographic information and insurance eligibility, including coordination of benefits
- Maintain productivity rates while ensuring compliance with policies and procedures

What is Required (Qualifications):
- Minimum educational requirement: High school diploma/GED or equivalent working knowledge
- Minimum of two to three years of experience in medical billing
- Strong knowledge of resolution to payor edit reports and reconciliation of acceptance reports
- Familiarity with ICD-9, ICD-10, HCPS, and CPT coding, as well as medical terminology
- Advanced computer knowledge, including proficiency in Windows-based programs

How to Stand Out (Preferred Qualifications):
- Prior experience working on claim errors in a claims management system
- Knowledge of ANSI formatting
- Experience with government regulatory requirements and commercial contracts
- Strong customer service skills and ability to establish good working relationships
- Detail-oriented with strong organizational skills

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