Medical Claims Specialist

We are seeking a highly skilled Medical Biller to join our administrative team at Hire Smart. This on-site position is crucial for managing patient billing information and ensuring accurate processing of medical claims.

• Prepare and Submit Claims: Accurately prepare and submit billing data and medical claims to insurance companies, ensuring compliance with regulatory requirements.
• Patient Communication: Communicate with patients regarding their outstanding balances and assist them in understanding their bills, promoting transparency and trust.
• Monitor Payments: Track payments, follow up on delinquent accounts, and establish payment arrangements with patients, minimizing financial disputes.
• Billing Software Management: Maintain and update billing software, ensuring all patient information is accurate and up-to-date, streamlining the billing process.
• Claims Follow-Up: Investigate and appeal denied claims to maximize reimbursement for services provided, reducing financial losses.
• Documentation: Prepare invoices and document amounts due for medical procedures and services, maintaining a clear audit trail.
• Compliance: Adhere to HIPAA regulations to ensure patient confidentiality, protecting sensitive information.

• Experience: Minimum of 1 year of experience as a Medical Biller or in a similar role, demonstrating expertise in medical billing processes.
• Technical Skills: Proficient in billing software and electronic medical records (EMR), leveraging technology to enhance efficiency.
• Communication Skills: Excellent written and verbal communication skills are essential, facilitating effective collaboration with patients and healthcare providers.
• Organizational Skills: Strong problem-solving abilities and the capacity to multitask effectively, prioritizing tasks to meet deadlines.