Medical Claims Processor Leader
4 weeks ago
destinationone Consulting is a leading recruitment agency specializing in diverse sectors including Healthcare, Health Tech, Government, Municipalities, NonProfits, Legal, and Public Accounting. By applying, you enable our recruiters to efficiently match you with suitable roles when opportunities arise.
The Medical Claims Processor Leader is crucial in maintaining the financial health of a healthcare practice by accurately and timely submitting claims and payments. This role is critical in ensuring compliance with insurance regulations.
Key Responsibilities:
- Prepare and submit claims to insurance companies and government programs, ensuring precision and timeliness.
- Verify patient insurance coverage and benefits before services are rendered, guaranteeing seamless care.
- Review and post payments, adjusting accounts as necessary to maintain accuracy.
- Follow up on unpaid claims and resolve discrepancies with payers to minimize delays.
- Maintain accurate and organized billing records and documentation, adhering to regulations.
- Generate billing reports and analyze trends for improved financial performance, identifying areas for optimization.
- Ensure compliance with healthcare regulations and billing practices, staying updated on changes in billing codes and insurance policies.
Requirements
- Associate's degree in Medical Billing, Health Information Management, or a related field is preferred.
- Previous experience in medical billing or coding with a strong understanding of healthcare reimbursement processes is essential.
- Proficiency in medical billing software and electronic health records (EHR) systems is required.
- Strong attention to detail and analytical skills are necessary for success in this role.
Estimated Salary: $55,000 - $65,000 per annum, based on location and industry standards.
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