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Medical Billing Coordinator
2 months ago
The Insurance Claims Specialist is responsible for reviewing rejected claims, posting insurance payments, and resolving outstanding insurance balances. This role requires a strong understanding of medical billing concepts, excellent attention to detail, and the ability to collaborate effectively with others.
Key Responsibilities:- Call insurances and use payer portals to resolve insurance denials.
- Focus on denials and resolve outstanding insurance balances.
- Communicate with providers about the status of outstanding insurance balances.
- Research and submit claims that are unable to be sent to insurances electronically.
- Resolve issues with claims that are electronically rejected by payers.
- Process and post insurance payments.
- Collaborate with team members to meet department goals and daily tasks.
- Ability to communicate professionally, clearly, and effectively with management, staff, and insurance companies.
- One year of experience with the following:
- Resolving outstanding medical insurance AR by researching unpaid claims via insurance calls and portal navigation.
- Claims reprocessing requests, corrected claims, and appeals.
- Navigating many commercial insurances such as Blue Cross/Blue Shield, Aetna, Cigna, and Optum.
- Working within an EHR system and the Microsoft Office suite including Excel and Outlook.
- Posting medical insurance payments to an EHR system.
- Navigating clearinghouse data and resolving rejected claims.
- Behavioral health medical billing experience (preferred).
- Experience working with Apple computers and macOS (preferred).
- AdvancedMD experience (preferred).
- We provide our full-time employees with:
- Competitive hourly rate ($20-25 per hour DOE).
- 75% coverage of health, dental, and vision insurance.
- 12 PTO days accrued annually in the first year.
- 4 paid holidays per year.
- 401k matching.
- Life Insurance.
- Professional development training and opportunities for advancement.
