Medical Claims Examiner
3 days ago
We are seeking an experienced Medical Biller to join our team at TemPositions. As a Medical Biller, you will play a crucial role in ensuring accurate and timely submission of medical claims to insurance companies.
Responsibilities:- Claim Review and Submission: Review submitted claims for accuracy and completeness, and submit them to insurance companies in a timely manner.
- Follow-up and Research: Conduct timely follow-up and research on all unpaid claims with insurance companies to resolve any issues or discrepancies.
- Appeals and Correspondence: Work on insurance appeals and corrected claims correspondence to ensure accurate payment for our clients.
- Portal Utilization: Utilize all available portals for claim information to stay up-to-date on claim status and resolve any issues promptly.
- Appeals and Disputes: Create and submit appeals and corrected claims packets, and other disputes, as necessary, to ensure accurate payment for our clients.
- Pre-authorizations: Assist with obtaining pre-authorizations when needed to ensure timely payment for our clients.
- Education: High school diploma required.
- Experience: Minimum of 5 years medical billing experience, with at least 1 year of out-of-network billing experience.
- Communication and Interpersonal Skills: Excellent communication and interpersonal skills required.
- Computer Proficiency: Must be computer proficient and able to utilize various software systems.
We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.
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