Medical Billing Claims Specialist

About us

Matia Mobility ) is changing the lives of people with paralysis or other disabilities that impact mobility. The all new Tek RMD M1 is a revolutionary mobility platform that makes it possible to independently and safely sit, stand and navigate environments that were once inaccessible, indoor and outdoor, and all at eye level.

We are looking for an experienced Medical Claims Specialist to join our growing team. This position is located in our Salt Lake City, UT headquarters.

Overview

We are seeking an experienced and detail-oriented Medical Claims Specialist to join our team.

Responsibilities

• You will work closely with our sales team, patients, healthcare providers, insurance companies, and other stakeholders to verify insurance coverage, obtain authorizations, submit claims, and resolve billing-related issues
• Your knowledge of insurance processes, attention to detail, and effective communication skills will contribute to the financial success and compliance of the organization
• Verify patient insurance coverage, benefits, and eligibility for reimbursement
• Collect and update patient insurance information accurately
• Communicate with insurance companies to obtain detailed information about coverage limitations, preauthorization requirements, and billing guidelines
• Accurately prepare and submit insurance claims using appropriate coding systems
• Ensure claims are complete, accurate, and comply with insurance company guidelines and requirements
• Monitor and track claim statuses, following up on outstanding or denied claims, and take necessary actions to resolve issues
• Review insurance payments and Explanation of Benefits (EOBs) for accuracy and adherence to contracted rates
• Identify billing discrepancies, denials, or underpayments and initiate appropriate actions, including appeals, resubmissions, or adjustments
• Identify overpayments and request offsets or refunds as appropriate
• Collaborate with the billing team to resolve billing-related issues, answer insurance-related inquiries, and provide necessary documentation for appeals
• Educate patients on insurance coverage, benefits, and financial responsibilities related to reimbursement
• Assist patients with understanding their insurance claims

Requirements

• Proven experience in medical insurance verification, billing, or similar roles in a healthcare setting, preferably in an orthopedic office
• In-depth knowledge of medical insurance processes, including verification, preauthorization, claims submission, and reimbursement
• Familiarity with durable medical equipment , terminology, and coding systems
• Strong understanding of insurance guidelines, regulations, and billing requirements
• Proficiency in using computer systems and software for insurance verification, claims submission, and electronic health records
• Excellent communication skills, both verbal and written, to interact effectively with patients, healthcare providers, insurance companies, and other stakeholders
• Strong attention to detail and accuracy in data entry, documentation, and claims processing
• Ability to handle confidential and sensitive information with discretion
• Strong problem-solving and analytical skills to identify and resolve billing-related issues
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment

Join our team as a Medical Claims Specialist and contribute to the success of our organization. We offer competitive compensation based on experience.

Job Type: Full-time

Pay: $75, $150,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person