Medical Claims Specialist

hace 17 horas


Santiago de los Caballeros, Santiago, República Dominicana Hire Smart A tiempo completo

At Hire Smart, we're seeking a detail-oriented Medical Claims Specialist to join our administrative team. This on-site position is crucial for managing patient billing information and ensuring accurate processing of medical claims.

The ideal candidate will possess strong organizational skills, excellent written and verbal communication skills, and experience with medical billing software.

We're looking for someone who can effectively prepare and submit claims, communicate with patients regarding their outstanding balances, and track payments. They should also be able to investigate and appeal denied claims to maximize reimbursement for services provided.

Responsibilities include:

  • Claim Preparation: Accurately prepare and submit billing data and medical claims to insurance companies.
  • Patient Communication: Communicate with patients regarding their outstanding balances and assist them in understanding their bills.
  • Payment Tracking: Track payments, follow up on delinquent accounts, and establish payment arrangements with patients.
  • Billing Software Management: Maintain and update billing software, ensuring all patient information is accurate and up-to-date.
  • Claims Follow-Up: Investigate and appeal denied claims to maximize reimbursement for services provided.

Requirements:

  • Experience: Minimum of 1 year of experience as a Medical Biller or in a similar role.
  • Technical Skills: Proficient in billing software and electronic medical records (EMR).
  • Communication Skills: Excellent written and verbal communication skills are essential.
  • Organizational Skills: Strong problem-solving abilities and the capacity to multitask effectively.

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