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Medical Billing and Claims Expert
2 months ago
As a Medical Claims Coordinator, you will play a crucial role in overseeing claims and billing processes for the KISx Card program.
This includes preparing and verifying payments, invoices, and financial records, maintaining customer accounts, and ensuring accurate data entry.
You will also establish relationships with healthcare providers, align processes with the claims team, and proactively identify and resolve discrepancies or issues.
Key Responsibilities:- Prepare, verify, and record payments and transactions related to accounts receivable, ensuring accuracy and compliance with billing procedures.
- Create invoices following company practices, maintain proper documentation, and submit them to customers in a timely manner.
- Generate detailed reports on the current status of customer accounts.
- Maintain and update customer files with accurate and up-to-date information, ensuring data integrity.
- Establish and maintain strong relationships with imaging and surgical facilities, serving as the primary liaison for prompt payment and issue resolution.
- Collaborate closely with the team to align processes and ensure consistency in billing and claims handling.
- Research and resolve discrepancies in payments, adjustments, and billing.
- Assist with daily reconciliations, transaction processing, and accounting records.
- Submit claims electronically and on paper through clearinghouse, coordinating with clinical and operations teams.
- Proactively identify challenging situations and implement appropriate actions to mitigate escalations with business partners.
- 3+ years of experience in medical billing, claims processing, or healthcare revenue cycle management.
- Strong knowledge of medical coding, billing practices, and claims submission procedures.
- Excellent attention to detail and data entry skills with a focus on accuracy.
- Strong organizational and time management skills.
- Ability to multitask and prioritize in a fast-paced environment.
- Excellent written and verbal communication skills.
- Experience using QuickBooks.
- Experience working with direct contracting or provider-payer relationships.
- Knowledge of accounting principles and practices.
