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Medical Claims Specialist

2 months ago

Houston, Texas, United States ABETTERHOMECARE Full time
Job Description

Overview:

ABETTERHOMECARE seeks a highly skilled and detail-oriented Medical Claims Specialist to join our team. The ideal candidate will have a strong background in medical billing and a passion for delivering exceptional patient care.

Duties and Responsibilities:

  • Process patient fees and charges efficiently and accurately.
  • Collect payments from patients in a professional and courteous manner.
  • Develop and implement patient payment plans to meet individual needs.
  • Compile and analyze billing data from various sources to identify trends and areas for improvement.
  • Prepare and submit electronic claims to third-party payers in a timely and accurate manner.
  • Investigate and resolve rejected claims promptly and efficiently.
  • Stay up-to-date on medical billing regulations and industry developments.
  • Collaborate with the financial team to achieve financial goals and objectives.

Requirements:

  • High school diploma or equivalent required.
  • Associates degree in a related field preferred.
  • At least four years of practical work experience in medical billing and collections.
  • Strong knowledge of medical claims coding and billing regulations.
  • Excellent communication and interpersonal skills.

Working Conditions:

The Medical Claims Specialist will work in a fast-paced environment with frequent deadlines and high pressure to meet production goals. The ideal candidate will be able to work independently and as part of a team to achieve results.