Healthcare Billing Specialist
2 weeks ago
Position Summary:
We are seeking a dedicated Healthcare Billing Specialist with experience in physician billing.
Key Responsibilities:
- Manage billing processes for Medicare and Medicaid, ensuring compliance with governmental regulations.
- Possess a comprehensive understanding of various medical insurance coverages.
- Submit claims to primary and secondary insurance providers and diligently follow up on outstanding claims.
- Verify the accuracy of patient insurance details and demographic information.
- Conduct follow-ups on all assigned accounts in accordance with established policies and procedures.
- Make outbound calls to insurance companies to check the status of pending claims.
- Analyze remittance advice and explanations of benefits.
- Prepare and submit appeals for denied or underpaid claims.
- Assess patient financial responsibility and verify insurance coverage.
- Communicate with guarantors regarding any discrepancies in insurance information.
- Exhibit strong skills in communication, documentation, follow-up, analysis, and computer proficiency.
- Familiarity with the Epic system is preferred, along with the ability to accurately update patient accounts and initiate billing processes.
- Perform additional job-related duties as assigned.
Essential Skills:
- Proficient in invoicing, insurance processes, Medicaid, Medicare, collections, payment posting, medical billing, CPT coding, ICD-10, and accounts receivable.
Qualifications:
- High School Diploma or General Education Degree (GED) is required.
- 1-2 years of prior experience in physician billing, including follow-up with carriers.
- Knowledge of the EPIC system is preferred.
- Understanding of HIPAA regulations is essential.
About TEKsystems:
At TEKsystems, we are committed to transforming ideas into solutions that leverage new opportunities. With a robust team of 80,000 professionals, we collaborate with over 6,000 clients, including a significant portion of the Fortune 500, across North America, Europe, and Asia. As a leader in Full-Stack Technology Services and Talent Services, we partner with innovative leaders to drive meaningful change. TEKsystems is proud to be an equal opportunity employer, considering all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.
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