Medical Billing Specialist
il y a 4 semaines
Join our New York based company, a dynamic revenue cycle management company focused on behavioral health facilities. As a Medical Billing Specialist, you will support our billing and collections department, managing claims follow-up, submission, and troubleshooting.
The Role
Key Responsibilities:
- Review and verify patient insurance coverage and eligibility before initiating billing processes.
- Prepare and submit medical claims for procedures and services to insurance companies, ensuring accuracy and compliance with healthcare regulations.
- Follow up on unpaid claims promptly and initiate appeals for denied claims to secure maximum reimbursement.
- Correct and resubmit rejected or problematic claims, addressing any issues identified by insurance companies.
- Manage the addition and discharge of patients in the billing system, maintaining up-to-date records.
- Add authorizations to the billing system as required for processed claims.
- Provide regular reports on billing activities and claim status to management and communicate effectively with clients as needed.
Ideal Profile
Qualifications:
- Experience in medical billing, claims follow-up, accounts receivable, and collections, preferably in a healthcare or behavioral health setting.
- Proficiency in using medical billing software required, preference to Avea and CollaborateMD, with a strong preference for candidates knowledgeable in Excel and Smart Suite.
- Excellent data entry skills with a high level of accuracy and attention to detail.
- Familiarity with various insurance plans, billing procedures, and regulatory requirements in healthcare.
- Strong problem-solving skills and the ability to manage multiple tasks efficiently.
- Effective communication abilities, with proficiency in English.
This position is ideal for a dedicated and meticulous billing professional who is adept at navigating the complexities of insurance claims and patient billing. If you are committed to ensuring accurate billing practices and enhancing revenue outcomes, we encourage you to apply and contribute to our team's success.
What's on Offer?
- A role that offers a breadth of learning opportunities
- Opportunities for career growth & development
- Role involving team management opportunities
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