Job Description

We are seeking a dedicated and detail-oriented Medical Billing & Collections Specialist to join our team. In this role, you will play a key part in ensuring timely payment collection, resolving claims efficiently, and maintaining accurate financial records. You will work closely with insurance companies, patients, and internal teams to maximize revenue and ensure compliance with billing standards.

Key Responsibilities:
Comprehensive Billing: Manage all aspects of the billing process, from submitting initial claims to resolving complex denials.
Complex Claim Resolution: Address intricate claims, including follow-up, appeals, and credit balance adjustments, to ensure accurate and timely reimbursement.
Proactive Follow-Up: Investigate and resolve outstanding balances, claim denials, and billing issues by reviewing medical records, coding, and payer contracts.
Appeal Management: Write compelling appeal letters, advocate for claim reversals, and ensure compliance with billing and regulatory requirements.
Efficient Claim Processing: Review daily clearinghouse rejections, identify trends, and take corrective actions to streamline claim submission and processing.
Record-Keeping: Keep detailed and accurate financial records of all patient accounts and ensure proper documentation of all account activities.
Collaborative Support: Work alongside healthcare providers to obtain the necessary documentation and ensure claims are processed and reimbursed in a timely manner.
Payer Expertise: Handle claims from a variety of payer types, including Commercial, Medicare, Medicaid, Managed Care, and more.
Strategic Account Management: Prioritize aging accounts, manage denial and appeal processes, and meet key performance goals.
Clear Communication: Build strong relationships with insurance companies, patients, and providers to resolve billing issues and ensure accurate claim submissions.
Qualifications:
Education: Bachelor's Degree or equivalent experience.
Experience: At least 2 years of experience in medical accounts receivable.
Software Experience: Previous experience working with EPIC is preferred.
Medical Coding: Proficient in ICD-10 and CPT coding.
Knowledge: Strong understanding of medical terminology.
Skills: Excellent analytical and problem-solving skills.
We are looking for someone who is proactive, detail-oriented, and passionate about ensuring that the billing process runs smoothly. If you're ready to contribute to a collaborative and dynamic team, we encourage you to apply!
Employment Type: Temporary
Salary: $ 21.00 31.00 Per Hour

Job Tags

Hourly pay, Temporary work,

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