Medical Claims Specialist

3 days ago


Pompano Beach, Florida, United States Chirocare Of Florida Holdings Llc Full time
Job Title: Medical Biller

We are seeking a detail-oriented and collaborative Medical Biller to join our team at Chirocare Of Florida Holdings Llc. The ideal candidate will possess a blend of clerical expertise, technical proficiency, and strong interpersonal skills to support our dynamic team and ensure efficient operations.

Key Responsibilities:
  • Confidentiality and HIPAA Compliance: Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
  • AthenaHealth Proficiency: Utilize AthenaHealth Electronic Medical Record (EMR) systems proficiently.
  • Revenue Cycle Management: Knowledgeable in various processes within the Revenue Cycle Management (RCM) Department, including follow-up, cash receipts, customer service and denial management.
  • Payer Portal Navigation: Access and navigate various payer portals for claims reconsideration and processing.
  • Account Monitoring: Monitor patient account details to identify and resolve billing-related issues.
  • Teamwork and Independence: Demonstrate the ability to work effectively both as part of a team and independently.
  • Medical Terminology: Apply knowledge of Medical Terminology, ICD-10, and CPT Codes accurately.
  • Collections Processes: Understand and execute collections processes and procedures efficiently.
Qualifications:
  • AthenaHealth Experience: AthenaHealth experience of two (2) years
  • Medical Billing Experience: At least two (2) years of experience in a medical billing setting.
  • Insurance Knowledge: Familiarity with Medicaid/Medicare insurance, collections, and Explanation of Benefits (EOB).
  • Revenue Cycle Knowledge: Experience in healthcare billing and a solid understanding of Revenue Cycle operational workflows.
  • Math and Communication Skills: Proficiency in basic math and professional telephone etiquette. Strong interpersonal and organizational skills are essential.
  • Effective Communication: Demonstrate effective oral and written communication skills.


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