Medical Claims
3 weeks ago
**Overview**:
**Duties**:
- Process and post payments to customer accounts
- Communicate with patients to address inquiries or issues related to billing
- Reviews and works on unpaid claims, identifying and rectifying billing issues.
- Communicates with insurance companies regarding any discrepancy in payments if necessary.
- Conducts research and appeals denied claims timely.
- Reviews Explanation of Benefits (EOBs) to determine denials or partial payment reasons.
- Provides detailed notes on actions taken and next steps for unpaid claims.
- Maintains a comprehensive understanding of the insurance follow-up process, payer guidelines, and compliance requirements.
- Resubmits claims with necessary corrections or supporting documentation when needed.
- Tracks and documents trends related to denials and work towards a resolution with the billing team.
**Requirements**:
- Proficiency in medical billing systems and software
- Knowledge of CPT, ICD-10, and medical coding
- Familiarity with medical records and terminology
- Experience in medical collections is a plus
- Strong attention to detail and accuracy in data entry
- Excellent communication skills for interacting with customers and internal teams
Pay: $20.00 - $22.00 per hour
**Benefits**:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- No nights
- No weekends
Work setting:
- Medical office
- Private practice
Work Location: In person
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