Medical Billing Collection Expert
3 weeks ago
The ideal candidate for this position will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims. Familiarity with mental health diagnosis and DSM-V Codes is highly desirable.
Responsibilities:
- Review and work on unpaid claims, identifying and rectifying billing issues.
- Communicate with counties regarding any discrepancy in payments if necessary.
- Research and appeal denied claims.
- Review Explanation of Benefits (EOBs) to determine denials or partial payment reasons.
- Provide detailed notes on actions taken and next steps for unpaid claims.
- Collaborate with the billing team to ensure accurate claim submission.
- Maintain a comprehensive understanding of the insurance follow-up process, payer guidelines, and compliance requirements.
- Resubmit claims with necessary corrections or supporting documentation when needed.
- Track and document trends related to denials and work towards a resolution with the billing team.
Qualifications:
- High school diploma or equivalent required. Associate or bachelor's degree in a related field is a plus.
- Prior experience in medical billing collections or a similar role.
- Familiarity with medical terminology, CPT, and ICD-10 coding.
- Proficiency in healthcare billing software.
- Strong analytical, organizational, and multitasking skills.
- Excellent verbal and written communication abilities.
- Ability to navigate payer websites and use online resources to resolve outstanding claims.
- Knowledge of HIPAA and other relevant healthcare regulations.
Estimated Salary: $60,000 - $80,000 per year, depending on experience and qualifications.
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