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Medical Claims Specialist
2 months ago
We are seeking a highly organized and detail-oriented Medical Claims Specialist to join our team at Southwest Breast and Aesthetics LLC. As a key member of our revenue cycle team, you will be responsible for accurately and efficiently processing medical claims, resolving billing issues, and maintaining accurate records.
Key Responsibilities- Accurate and timely data entry of electronic and/or hardcopy medical claims
- Input billings and post payments/deposits into accounting software
- Research and resolve denied billings and take action for collection processes
- Identify trends in billing and payment issues and communicate issues in a timely manner to supervisor
- Maintain billing and payment records per contract requirements
- Communicate with internal and external representatives to facilitate billing issue resolution and build strong working relationships
- Assist with maintaining policies & procedure documentation
- Assist with managing special projects as needed
- Document all account activity and correspond to inquiries in a timely manner
- High School diploma or equivalent
- Must have experience in accounts receivable and prior authorizations
- Experience with multi-company / divisional financials highly desirable
- Excellent organizational and time management skills; strict attention to detail
- Computer skills needed: MAC knowledge; Google Drive; Advanced MD knowledge is a +
- A high standard of integrity and sound business ethics
- Ability to work effectively with other internal and external departments
- Ability to work independently and as a team player
- HIPPA
- Medical, dental, vision insurance offered
- 401(k) retirement plan with employer match
- Generous paid time off benefits (vacation, holiday and sick)
- Fourteen paid holidays per year including your birthday
Job Type: Full-time
Pay: $23.00 per hour