Medical Billing Specialist
4 weeks ago
Job Summary:
The Billing and Collections Administrator will play a crucial role in ensuring timely and accurate billing and collections for our organization. This position will be responsible for coordinating with insurance companies, resolving unpaid or denied claims, and implementing effective strategies to maximize reimbursement for services provided.
Key Responsibilities:
- Collaborate with insurance companies to proactively address unpaid or denied claims and ensure timely collection of revenues.
- Implement effective strategies to resolve claim disputes and discrepancies, ensuring maximum reimbursement for services provided.
- Monitor and assess billing records to identify opportunities for adjustments and corrections as needed.
- Utilize comprehensive documentation and reference materials to process claims with precision and efficiency.
- Stay updated on the latest billing and coding guidelines to ensure claims meet compliance standards.
- Play a pivotal role in addressing front-end rejections by working closely with clearing houses to resolve issues promptly.
- Proactively reconcile and resolve billing discrepancies, ensuring accurate financial data and alignment with organizational standards.
- Accurately post payment remittances and generate detailed reports to facilitate transparency in financial transactions.
- Monitor and manage the Accounts Receivable (A/R) aging report to identify and address overdue accounts.
- Collaborate with the billing team and other departments to tackle special projects and initiatives.
- Stay up-to-date with changes in billing regulations, coding guidelines, and insurance policies to ensure compliance and accuracy in billing processes.
Requirements:
- Associate degree and/or Certified Medical Billing Specialist.
- At least one (01) year of medical billing experience; more than three (03) years preferred.
- Excellent verbal and written communication skills, problem-solving skills, and attention to detail.
- Intermediate Microsoft Excel skills and familiarity with various payer websites and interpreting denial reasons.
Language: English
Minimum Experience: 1-2 years
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