Medical Biller/Collections Specialist
1 month ago
Responsibilities:
• Accurately process and verify insurance claims including private, Medicare, Workers' Compensation, PPO, and HMO claims.
• Perform coding of claims with CPT and ICD-9 codes in accordance with medical records.
• Manage the mailing process of claims to third-party payors.
• Carry out general duties such as benefit verification, secondary insurance filings, and deposit slip completion.
• Work with transcription services and electronic medical records.
• Understand and manage managed care contracts and reimbursement processes.
• Handle additional duties such as chart deficiencies in medical records and answering phones as assigned.
• Utilize accounting software systems for various billing functions.
• Conduct appeals and authorizations related to medical billing.
• Apply knowledge of medical code and medical terminology in daily tasks.
• Must have a minimum of 2 years of experience in Medical Billing or Collections Specialist roles
• Proficiency in Accounting Software Systems is required
• Experience with EMR such as Allscripts, Modernizing Medicine, and Cerner Technologies is highly desirable
• Familiarity with IMD and OPM is a plus
• Strong understanding of Accounts Receivable (AR), Appeals, and Authorizations processes
• Knowledge of Benefit and Billing Functions is essential
• Medical Billing skills are a must-have
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Attention to detail and high level of accuracy
• Strong organizational and time management skills
• Ability to handle sensitive and confidential information with discretion
• Willingness to continually update skills and knowledge as the field evolves.
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