Healthcare Billing Resolution Expert
3 weeks ago
We are looking for an experienced Claims Advocate Professional to join our team inAssist Healthcare Management Solutions / HealthLock. As a Claims Advocate Professional, you will play a critical role in reviewing complex healthcare claims and identifying discrepancies to reduce members' out-of-pocket healthcare costs.
Duties and Responsibilities- Review patient medical bills, correspondence, and Explanation of Benefits (EOBs) for errors.
- Liaise with insurance carriers and providers to address identified issues.
- Communicate with providers and carriers via phone and email, ensuring prompt and professional responses.
- Identify problems and inconsistencies using management reports and critical thinking skills.
You will also be responsible for utilizing expertise and taking initiative to resolve claims/billing issues and review EOBs and examine claims for appropriate coding of CPT and ICD-9 and -10 codes and modifiers against charges that are billed.
Skills and Qualifications- Bachelor's degree in a related field or equivalent experience.
- 3-5+ years' experience in medical billing and coding.
- Strong critical thinking and problem-solving skills.
- Proficiency in Explanation of Benefits (EOB) knowledge.
- Estimated salary: $65,000-$85,000 per year, depending on experience.
- Comprehensive benefits package, including medical, dental, vision, 401K, and life insurance.
- Generous PTO and paid holidays.
This is an excellent opportunity to work in a fast-paced and dynamic environment with a growing company like inAssist Healthcare Management Solutions / HealthLock.
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