Medical Claims Processor and Revenue Cycle Expert

4 weeks ago


Philadelphia, Pennsylvania, United States destinationone Consulting Full time

At destinationone Consulting, we excel in recruitment across various sectors, including Healthcare, Health Tech, Government, Municipalities, NonProfits, Legal, and Public Accounting.

We are actively building a comprehensive database for opportunities in these fields, ensuring our recruiters can efficiently match candidates with suitable roles when they arise.

The Medical Claims Processor and Revenue Cycle Expert plays a pivotal role in managing the billing process for a healthcare practice, guaranteeing accurate and timely submission of claims and payments.

This position is crucial in maintaining the financial health of the organization and ensuring compliance with insurance regulations.

Key Responsibilities:

  • Prepare and submit accurate claims to insurance companies and government programs, adhering to regulatory requirements.
  • Verify patient insurance coverage and benefits prior to services being rendered, ensuring seamless care delivery.
  • Review and post payments, adjusting accounts as necessary to maintain financial accuracy.
  • Follow up on unpaid claims and resolve discrepancies with payers to minimize revenue loss.
  • Maintain accurate and organized billing records and documentation, facilitating efficient claims processing.
  • Generate billing reports and analyze trends to identify opportunities for improved financial performance.
  • Ensure compliance with healthcare regulations and billing practices, staying updated on industry developments.
  • Stay current on changes in billing codes and insurance policies to optimize revenue cycle management.

Requirements:

  • Associates 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.

We value Integrity, Transparency, and Innovation at destinationone Consulting. By applying, you ensure our recruiters can quickly match you with suitable roles when they arise. We are proactively building a databank for opportunities in Healthcare, Health Tech, Government, NonProfits, Legal, and more. Join our network today and we will promptly connect you with the right opportunities when they come up. Let us help you find your next career move.

Estimated salary for this position is around $45,000 - $65,000 per year, depending on experience and qualifications. This figure is based on industry standards and location.

Disclaimer: We are not currently hiring for this position, but we encourage you to join our network to stay updated on future opportunities.

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Estimated salary for this position is around $45,000 - $65,000 per year, depending on experience and qualifications. This figure is based on industry standards and location.



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