Medical Billing Specialist (BIL)

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Requirements:

• Proven experience in medical billing with exposure to RCM and A/R processes.
• Experience with claim denial management and collections processes.
• Proficiency in English communication, both written and verbal.
• Proficient in virtual office tools, EHR systems, and communication platforms.
• Strong customer service and critical thinking skills.
• Understanding of HIPAA regulations and the importance of patient data confidentiality.
• Strong problem-solving skills and ability to work with minimal supervision.
• Willingness to work in US time zones (PST, EST, CST).
• High school diploma or equivalent.

Responsibilities:

• Oversee the entire billing cycle from claims submission to final reimbursement, ensuring each step is accurately and efficiently managed.
• Track and manage unpaid bills, performing follow-ups on outstanding claims and resolving collection issues to maximize revenue.
• Investigate denied claims, identify errors or required corrections, and resubmit claims with appropriate adjustments.
• Manage backend tasks related to claim resubmission, verifying accuracy, and implementing corrections as needed to avoid delays in reimbursement.
• Ensure all billing activities are documented by regulatory standards and compliance requirements, including HIPAA.