Medical Billing Specialist for Insurance Claims

4 days ago


Buffalo, New York, United States Catholic Health System Full time

Located in the administrative heart of New York, the Catholic Health System is seeking a motivated Medical Billing Specialist to join their team. This role is ideal for individuals with a passion for healthcare and a keen eye for detail.

Estimated Salary: $65,000 - $80,000 per year

Job Description

As a Medical Billing Specialist with the Catholic Health System, you will play a critical role in ensuring that clients receive proper reimbursement for their medical services. Your primary responsibility will be to verify patient insurance information, review billing records, and follow up on insurance company denials in a timely manner.

Responsibilities:

  • Review all claims for accuracy and correctness
  • Identify and rectify errors or issues with billing
  • Review and correct all response files from electronic submissions
  • Follow up on unpaid, outstanding, or denied claims within the payers' timely filing guidelines
  • Verify patient insurance information using various sources, including Hnet, ePaces, Connex, and insurance company portals
  • Make necessary changes to correct denied claims and submit corrected claims to the appropriate insurance carrier
  • Review EOBs for denial or partial payment information
  • Interact with insurance companies to resolve issues delaying collections of accounts
  • Document all patient accounts with each action taken in the appropriate system
  • Follow up on all daily correspondence received in a timely manner
  • Stay up-to-date with current insurance billing requirements and changes by reading payer newsletters and other publications

Requirements:

  • High School diploma
  • Graduate of a certificate program for Medical Billing is preferred
  • Two years of Medical Billing experience is preferred
  • Certification in Medical Billing/Reimbursement is a plus

Working Conditions:

The ideal candidate will be working in a normal office environment with minimal heat, light, and safe working conditions. This role requires strong computer skills, excellent written and oral communication skills, excellent organizational skills, and the ability to work well with others. The Catholic Health System offers a competitive salary and benefits package to the successful candidate.

About Us:

The Catholic Health System is a leading healthcare provider in New York, committed to delivering high-quality patient care. Our team of dedicated professionals is passionate about making a difference in the lives of our patients and their families. If you share our values and are looking for a challenging and rewarding career opportunity, please apply today.



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