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Medical Claims Insurance Specialist - Remote
This job is now closed
Job Description
- Req#: 300019779454266
Employer Industry: Healthcare Revenue Cycle Management
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient billing and insurance processes
- Engage in process improvement initiatives to enhance operational efficiency
- Develop a thorough understanding of revenue cycle management and medical billing practices
What to Expect (Job Responsibilities):
- Analyze, audit, and resolve outstanding, denied, or incorrectly paid claims
- Review and respond to payer correspondence and submit appeals for denied claims
- Contact insurance companies and navigate payer websites to expedite insurance payments
- Resolve patient billing inquiries and document all actions in the accounts receivable system
- Participate in special projects and process improvement initiatives as requested
What is Required (Qualifications):
- High school diploma
- Minimum of 1 year of insurance follow-up experience, including knowledge of the appeals resolution process
- Strong written and oral communication skills
- Analytical and problem-solving capabilities with close attention to detail
- Thorough working knowledge of revenue cycle management, medical terminology, and billing practices
How to Stand Out (Preferred Qualifications):
- Familiarity with ICD-9, ICD-10, CPT-4 coding, and Medicare reimbursement guidelines
- Ability to read and interpret Explanation of Benefits (EOB) documents
- Highly self-motivated with the ability to work independently and meet deadlines
#HealthcareRevenueCycle #MedicalBilling #InsuranceFollowUp #CareerOpportunity #ProcessImprovement
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