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Healthcare Billing Specialist
2 months ago
Sign-on Bonus: $500
Key Responsibilities:
- Evaluate denials on explanation of benefits (EOB) statements and address issues until they are resolved.
- Examine Accounts Receivable (A/R) reports to follow up on outstanding claims.
- Prepare and submit appeals for claims that necessitate further review.
- Provide any necessary documentation to insurance providers as required.
- Investigate claims for information to ensure timely billing processes.
- Engage in regular communication with insurance providers, adjusters, and patients.
- Rectify any discrepancies and resubmit all unprocessed or returned claims to insurance providers.
- Generate UB92 and HCFA bills by accurately entering data into the billing software.
Required Qualifications:
- High School Diploma or an equivalent combination of education and experience is required.
- Experience with MS Office, particularly proficiency in Excel and Word, along with internet software experience is necessary.
- One to two years of relevant billing experience is preferred.
- Capability to perform basic arithmetic operations, including addition, subtraction, multiplication, and division across various units of measure.
- Ability to compute rates, ratios, and percentages effectively.
- Proficiency in reading and interpreting documents such as safety regulations, operating instructions, and procedural manuals.
- Competence in writing routine reports and correspondence.
- Strong verbal and written communication skills.