Medical Billing Specialist

4 days ago


Decatur, Georgia, United States Kids Health First Full time
Job Description

We are seeking a highly skilled Pediatric Claims Processor to join our team at Kids Health First. In this role, you will be responsible for processing and managing commercial, Medicaid, and self-healthcare claims related to pediatric patients.

Key Responsibilities:

  • Handle incoming telephone calls and respond to requests for information from patients and outside sources.
  • Process claims daily, ensuring accurate and timely reimbursement.
  • Review claims for errors, correct claims before transmission, and transmit clean claims.
  • Investigate, correct, and follow up on claim denials.
  • Communicate with staff to reduce denials and enhance revenue.
  • Identify, report, and resolve reimbursement issues.
  • Communicate reimbursement issues to management.

Requirements:

  • Excellent interpersonal skills.
  • Ability to communicate clearly and effectively with patients and external parties.
  • Detail-oriented and highly organized.
  • Familiarity with medical practices, administrative processes, and organizational policies.
  • Knowledge of patient care and examination procedures.
  • Ability to maintain confidentiality.

Education and Experience:

  • High school diploma or GED or Associate degree preferred.
  • Certified coder.
  • Two years of recent relevant pediatric billing experience.

Work Environment:

The noise level in this environment is usually moderate. This is an in-office position, requiring daily presence.



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