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Medical Claims Specialist
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Chesapeake, Virginia, United States Bayview Physicians Group Full timeJob Title: Medical BillerBayview Physicians Group is a dynamic and growing outpatient multi-specialty medical group that prioritizes the doctor-patient relationship as the cornerstone of quality healthcare.We have over 600 positions available in the Hampton Roads area, and we are seeking individuals with excellent customer service skills, strong collegial...
Medical Biller
2 months ago
Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates.
Duties & Responsibilities:
- Track claims with insurance companies.
- Active follow up with insurance companies for outstanding unpaid claims.
- Work unpaid claims and credit reports.
- Research and process rejected or suspended claims
- File appeals and documentation to insurance companies for payment reconsideration
- Audit patient accounts to determine when refund are due, as well as request refund
- Assist patients with insurance billing and account balance issues/questions
- Identify delinquent accounts and route to collections department staff
- Maintain changes and updates in insurance policies/procedures to staff
- Participate in specialized seminars as required.
- Participate in training as needed
- Identify, research and communicate insurance changes, provider participating status and any other new information to appropriate staff.
- Assist other account representatives as needed to maintain workload
- Work Practice Management claims, edits, validations and clearinghouse carrier edits.
- Maintains confidentiality in regards to patient account status and the financial affairs of the clinic/corporation.
- Maintains annual compliance education
- Regular and reliable attendance.
- Presents to work on time as scheduled.
- Perform other duties as assigned by supervisor.
Qualifications:
- General knowledge of medical practices, including exceptional interpersonal skills.
- Ability to organize and effectively work on multiple projects at one time.
- Ability to communicate effectively orally and in writing.
- Excellent telephone skills.
- Must demonstrate the ability to work as a team member.
- Must demonstrate a positive attitude, and helpful demeanor.
- General knowledge of standard office equipment such as computers, fax machine, photo copier, etc.
Education and/or Experience:
- Minimum of 1 year previous medical experience required.
Supervisory Responsibilities:
None
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