Medical Claims Specialist

2 weeks ago


Grand Blanc, Michigan, United States Hart Medical Equipment Full time
Job Summary

Hart Medical Equipment is seeking a skilled Medical Biller to join our team. As a Medical Biller, you will play a critical role in ensuring accurate and timely reimbursement for our patients' medical services.

Key Responsibilities
  • Coordinate insurance and billing activities associated with patient care services
  • Enter charges accurately to ensure proper records handling and fast payment responses
  • Initiate private pay collections after insurance cancellation, denial, or other issues
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Identify and bill secondary or tertiary insurances
  • Maintain accuracy of tables and inform management of rate changes
  • Address claims that remain unpaid and follow up with patients and insurance companies to determine the cause of the delay and keep the billing cycle on track
  • Look into claims that are denied and research how to modify the claim to ensure it is processed correctly at maximum reimbursement
  • Answer inquiries made by patients, insurance companies, or fellow employees regarding assigned accounts, the billing process, or the appeals process
Requirements
  • High school diploma or general education degree (GED)
  • Minimum of six (6) months in medical insurance reimbursement and/or training
  • Excellent interpersonal, written, and verbal communication skills
  • Attention to detail
  • Good data entry skills
  • Proficiency with computers and strong typing skills
  • Good organization skills
Work Environment

The work environment is an office setting with moderate noise levels.

Training

Orientation and selected courses must be completed in the designated time frame.



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