Medical Claims Specialist
7 days ago
The Medical Claims Specialist plays a pivotal role in ensuring seamless reimbursement for healthcare services at Progressive Spine & Orthopaedics, LLC.
About the JobWe are seeking an experienced and detail-oriented professional to join our team as a Medical Claims Specialist. In this role, you will be responsible for accurately processing healthcare claims, coding medical procedures, and submitting claims to insurance companies.
This is a unique opportunity to work with a dynamic team in a fast-paced environment. As a Medical Claims Specialist, you will have the chance to develop your skills and knowledge in medical billing and coding, while contributing to the success of our organization.
Key Responsibilities- Process and submit accurate and complete claims to insurance companies in a timely manner.
- Monitor the status of submitted claims, follow up with insurance companies to resolve any discrepancies or denials, and resubmit claims as needed.
- Record payments received from insurance companies, patients, or other sources and apply them to the appropriate accounts while maintaining balance sheets.
- Generate bills and invoices for patients and insurance companies based on the services provided.
- Provide exceptional customer service to patients, responding to their inquiries regarding billing and insurance, explaining charges, and resolving billing disputes.
- Stay up-to-date with changes in healthcare regulations, insurance policies, and coding guidelines to ensure compliance with legal requirements.
- Maintain accurate and organized records of all billing and claims-related activities.
- Generate reports to track billing and collections performance, including accounts receivable aging reports.
- Bachelor's degree in Health Information Management, Healthcare Administration, or related field preferred.
- Minimum 2 years of experience in medical billing and coding, preferably in a hospital or physician practice setting.
- Familiarity with ICD-10, CPT, and other medical coding systems.
- Proficiency in electronic health record (EHR) systems and medical billing software.
- Strong attention to detail, analytical skills, and ability to work accurately under pressure.
- Excellent communication and interpersonal skills for interacting with patients, healthcare providers, and insurance companies.
The estimated annual salary for this position is $65,000 - $85,000, depending on experience and qualifications. Our comprehensive benefits package includes:
- Medical, dental, and vision insurance.
- 401(k) retirement plan with company match.
- Flexible paid time off policy.
- Professional development opportunities.
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