Medical Billing Specialist
4 weeks ago
We are seeking a highly motivated and detail-oriented Medical Billing Representative to join our team at Medloop. As a Medical Billing Representative, you will play a critical role in resolving billing issues and working directly with clients to identify and manage efficient billing processes for optimal A/R outcomes.
Key Responsibilities:
- Serve as a liaison between patients, insurers, and healthcare providers
- Follow up on patient accounts to ensure timely payment of claims
- Initiate prior authorization for procedures and manage prior authorization activities
- Document all prior authorization activities and maintain accurate records
- Excellent communication and organizational skills with a customer service focus
- Ability to read and understand EOBs and ERA files
- Process appeals and analyze denials
- Knowledge of CPT and ICD-10 coding requirements
- Previous experience in a medical industry is required
- Understanding of refunds/take-backs
- Knowledge of medical terminology
- Ability to maintain confidential information and multitask
- Ability to identify and communicate billing inconsistencies
Requirements:
- High school diploma or equivalent
- 2 years of medical billing experience or medical billing training
Preferred Qualifications:
- Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements
- Familiarity with writing appeals with successful outcomes
- General knowledge of ICD-10, CPT-4, and HCPC coding and CCI edits
- Ability to prioritize effectively and handle shifting priorities
- Self-starter with the ability to organize work for maximum efficiency and attention to quality
What We Offer:
- Health Insurance
- 401K
- Great PTO Package
Job Type: Full-time (In the office)
Pay: $22-$26 per hour
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