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Billing Specialist-Medicare HMO

4 months ago


Lafayette, United States Acadian Ambulance Full time

Job Opening: Billing Specialist (Medicare HMO)

Job Location: Lafayette, LA - This position is based in the office.

Summary of Duties: Responsible for processing and resolving insurance claims. Ensuring proper payment of claims, appealing of denials and resolution of claims.

Essential Functions:

  • Responsible for claim status checks as needed to ensure proper resolution
  • Initiating contact with insurance providers as needed
  • Review and process claim rejections and appeals for research and resolution
  • Monitor payment discrepancies and process payments
  • Review claims for Federal compliance
  • Process incoming correspondence and phone calls specific to the payer type
  • Verification of patient insurance
  • Ensure accuracy of demographic information
  • Other duties and responsibilities as assigned

Qualifications:

  • High school diploma or equivalent
  • Previous medical billing experience preferred
  • Proficient in Google, MS Office Suite or related software
  • Ability to communicate clearly and concisely
  • Ability to establish and maintain working relationships with coworkers and patients
  • Punctual with strong attendance history
  • Ability to adhere to productivity goals, departmental and company guidelines, dress code, policies and procedures
  • Excellent interpersonal skills and time management
  • Maintain highest level of confidentiality

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.