Billing Specialist II
New
N
NavaniHealthcare Billing
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum of one (1) year in medical experience in medical billing, insurance follow-up, claims processing or related patient accounts work required.
- Required Skills
- Microsoft Office
Requirements
- High School Diploma or GED required.
- Minimum of one (1) year of experience in medical billing, insurance follow-up, claims processing, or related patient accounts work.
- Strong customer service skills.
- Proficiency in Microsoft Office Suite (Outlook, Word, Excel).
- Ability to work Monday-Friday in a remote setting.
- Ability to pass a post-offer, pre-employment drug test.
- Ability to pass a background check per RCW 43.43.830-840.
- Must not be included on the List of Excluded Individuals provided by the OIG.
- Two years of medical billing course preferred.
- Working knowledge of Imagine Software or other patient accounting systems preferred.
- CPT and ICD-10 coding experience preferred.
Responsibilities
- Review unpaid claims by calling for payment status, submitting appeals, and correcting or resubmitting claims.
- Follow up with insurance companies regarding unpaid or incorrectly paid services.
- Resolve claim edits and missing information prior to submission.
- Correct posting discrepancies to align with payer adjudication.
- Research payments received but not yet posted.
- Coordinate with the credentialing liaison to address provider enrollment issues.
- Work with referring physician offices to obtain retroactive authorizations or referral numbers.
- Support staff with onsite eligibility inquiries as needed.
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