Job Purpose
We are seeking a dedicated professional to join our team in generating revenue by monitoring and resolving outstanding medical claims. You will play a crucial role in ensuring that claims are reviewed and processed promptly, while also verifying coding and payment accuracy according to client needs and specifications.
Key Responsibilities
- Follow up with insurance companies to secure timely and complete payments.
- Research and submit corrected claims or appeals as necessary.
- Communicate with insurance companies to resolve any discrepancies in payments.
- Process and document adjustments, including write-offs, transfers, and chargebacks across various platforms.
- Provide additional information to clients to facilitate collections.
- Analyze insurance reimbursement receipts to ensure accuracy.
- Protect sensitive information by adhering to professional standards and compliance with all relevant policies, procedures, and regulations.
Qualifications
- Previous experience in medical billing is required.
- Strong understanding of medical billing terminology and processes.
- Proficiency in Microsoft Excel is essential.
- Detail-oriented and well-organized with excellent analytical skills.
- Strong documentation and time management abilities.
- Results-driven with a focus on quality outcomes.
- Basic math skills are necessary.
About Us
We are a dedicated team focused on Revenue Cycle Management, Practice Management, and EHR Training and Implementation services across various specialties and practice sizes. With over thirty years of experience, we excel in analyzing each claim processed to maximize revenue retention. Our commitment to understanding office flow helps healthcare providers establish effective processes that enhance productivity and manage patient loads efficiently. We pride ourselves on staying ahead of industry trends and regulatory changes, ensuring we provide valuable support to our clients while minimizing their cost burden.
Employment Type: Full-Time