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Billing Specialist in Healthcare

2 months ago

Hollywood, California, United States National Pharmacy Full time
POSITION SUMMARY:

The Medical Biller plays a crucial role in the healthcare revenue cycle, ensuring accurate and timely processing of claims. This position is essential for maintaining the financial health of the organization.

KEY RESPONSIBILITIES:
  • Manage charge and payment entries within the Electronic Health Record system.
  • Collaborate with healthcare providers to clarify any discrepancies in patient information necessary for effective claim processing.
  • Oversee the correction, completion, and submission of claims across various payer categories.
  • Evaluate and ensure that claims are correctly transmitted to insurance providers.
  • Conduct follow-ups with Medicare, Medicaid, Managed Care, and Commercial insurers regarding outstanding accounts as identified in aging reports.
  • Handle appeals through both online platforms and traditional paper submissions.
  • Support the reconciliation of patient collections and deposits.
  • Assist in providing information for billing audits.
  • Process requests for refunds as needed.