Job Description

Key Responsibilities

Claim Submission:

Prepare and submit accurate insurance claims to various insurers, ensuring all medical billing codes and documentation are correct.

Eligibility Verification:

Review patient information to confirm insurance coverage and eligibility before services are rendered or claims are submitted.

Payment Monitoring:

Track the status of submitted claims, monitor payments from insurance companies, and generate billing statements for patients.

Denial Resolution:

Investigate and resolve claim denials, discrepancies, and billing issues by communicating with insurance providers and healthcare staff.

Record Maintenance:

Maintain updated and accurate patient billing records, financial statements, and account information.

Patient Interaction:

Answer patient billing inquiries, clarify concerns, and offer payment solutions or arrangements.

Compliance:

Ensure all billing practices adhere to relevant healthcare regulations, privacy standards (like HIPAA), and insurance guidelines.
Key Skills and Qualifications

Technical Skills:

Proficiency with medical billing software and systems, strong data entry skills, and familiarity with productivity software like Microsoft Excel.

Knowledge:

In-depth understanding of medical terminology, ICD-10 and CPT codes, and various insurance plans.

Analytical Skills:

Ability to analyze billing trends, resolve discrepancies, and identify opportunities to improve payment processes.

Communication Skills:

Excellent verbal and written communication skills for interacting with patients, insurance companies, and healthcare professionals.

Attention to Detail:

High level of accuracy is crucial for handling sensitive financial and patient data.

Organizational Skills:

Ability to manage multiple tasks, meet deadlines, and maintain organized records in a fast-paced environment.
Job Type: Full-time

Work Location: In person