Medical Claims Specialist

4 days ago


Idaho Falls, Idaho, United States BRAD HALL COMPANIES Full time

Job Details

BRAD HALL COMPANIES is seeking a skilled Medical Billing Coordinator to oversee the billing process and protect the company's revenue. The successful candidate will process patients' medical billings, calculate charges, and assign codes, track and collect payments, and ensure all invoices are error-free and paid in full.

Key Responsibilities:
1. Verify patient information to ensure it is complete and accurate and update patient information regularly to reflect changes in their demographics.
2. Ensure that all accounts are accurate and that patients are billed accordingly.
3. Utilize medical codes to interpret patient medical claims and submit records to insurance companies as requested.
4. Assist patients by following up on medical claims and appealing unpaid claims.
5. Ensure that formal authorization documentation for patient care is in place prior to administration of care.
6. Create patient invoicing by recording services provided to patients and confirming them with medical providers.
7. Collect timely payments or develop payment solutions for clients facing financial hardships.
8. Facilitate the resolution of all issues concerning billing by assessing contracts with third-party payers, explaining insurance packages to patients, and negotiating settlements.
9. Maintain a record of services received by patients in the clinic by entering data into the computer system and making them available when needed.

Qualifications:
The ideal candidate will have 2+ years of specific medical billing experience, a certified biller/coder certification, a firm understanding of medical insurance practice, and strong arithmetic and interpersonal skills.



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