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Medical Billing Specialist

2 months ago

Paramus, New Jersey, United States Easy Apply Full time
Job Summary

We are seeking a highly motivated and detail-oriented Medical Billing Representative to join our team at Medloop. As a Medical Billing Representative, you will play a critical role in resolving billing issues and working directly with clients to identify and manage efficient billing processes for optimal A/R outcomes.

Key Responsibilities
  • Client Liaison: Serve as a liaison between patients, insurers, and medical practices to ensure timely and accurate claims processing.
  • Claims Follow-up: Follow up on patient accounts to ensure claims for patient charges submitted to insurance companies are paid in a timely fashion.
  • Prior Authorization: Initiate prior authorization for all procedures requested by staff, providers, and insurers, and prioritize and organize all prior authorization activities.
  • Documentation: Document all prior authorization activities and record activity.
  • Communication: Possess excellent communication and organizational skills with a customer service focus, and be able to read and understand EOBs and ERA files.
  • Appeals Processing: Process appeals and analyze and research denials.
  • Coding Knowledge: Have knowledge of CPT and ICD-10 coding requirements, and previous experience in a medical industry is required.
  • Confidentiality: Be able to maintain confidential information and multitask with ease.
Requirements
  • Education: High school diploma or equivalent.
  • Experience: 2 years of medical billing experience or medical billing training, or other experience in a healthcare setting.
Preferred Qualifications
  • Working Knowledge: Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements.
  • Appeals Writing: Familiar with writing appeals with successful outcomes.
  • Coding Knowledge: General knowledge of ICD-10, CPT-4, and HCPC coding and CCI edits.
  • Prioritization: Ability to prioritize effectively and handle shifting priorities.
What We Offer
  • Health Insurance
  • 401K
  • Great PTO Package