Medical Billing & Collections Specialist
New
United States; must reside in one of the following states: Arkansas, Arizona, Colorado, Florida, Hawaii, Idaho, Illinois, Indiana, Kansas, Michigan, Missouri, Montana, Minnesota, North Carolina, Ohio, Oregon, Tennessee, Texas, Virginia, WashingtonFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- English
- Experience
- 1+ year(s)
- Required Skills
- Microsoft ExcelHIPAA
Requirements
- 1+ year(s) of experience in a business, medical, or clinical environment.
- Proficiency in Electronic Medical Record (EMR) billing systems.
- Strong knowledge of medical terminology and health insurance guidelines.
- Fluent in English, both spoken and written.
- Working knowledge of Word, Outlook, and Excel.
- Understanding of HIPAA guidelines and federal laws.
- Ability to prioritize tasks and work with minimal supervision.
- Excellent organizational, verbal, and written communication skills.
- Critical thinking skills.
Responsibilities
- Process claims to appropriate primary, secondary, and/or tertiary insurance company according to insurance guidelines.
- Perform follow-up on unpaid insurance accounts identified through aging reports.
- Process appeals when appropriate.
- Process refund requests.
- Identify trends, and carrier issues relating to billing and reimbursements, report findings to leadership.
- Maintain Privacy & Confidentiality of patient information and organizational operations.
- Responsible for learning, understanding and following payer guidelines.
- Reallocate misapplied payments and adjustments.
- Work special assignments when needed.
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