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Billing Specialist-Medicare HMO
4 months ago
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.