Medical Claims Specialist

{"title": "Medical Billing Specialist Job Description","description": "
About Us:
We are a service provider company that manages customer service interactions across multiple industries, including telecommunications, financial services, and utilities.

Our Mission:
We are dedicated to offering our employees competitive salaries, growth opportunities, and a strong focus on well-being.

Key Responsibilities:

### Insurance Claim Processing
Process and submit insurance claims accurately and in a timely manner.
### Claim Denial Management
Verify patient insurance coverage and ensure proper documentation is maintained.
Handle and resolve insurance claim denials, coordinating with insurance companies as needed.
### Medical Coding and Reporting
Utilize standard medical billing coding systems (e.g., ICD, CPT, HCPCS) for proper claim submission.
Maintain and update patient records using Electronic Health Records (EHR) systems.
### Collaboration and Communication
Collaborate with healthcare providers, insurance companies, and patients to address billing inquiries and issues.
Ensure compliance with all healthcare regulations and billing guidelines.
Generate detailed billing reports and follow up on outstanding claims or payments.

### Required Skills and Qualifications

### Experience
1+ year of proven experience in medical billing, claims processing, and insurance verification.
Strong background in working with insurance companies and understanding claim denial processes.
Solid experience using Electronic Health Records (EHR) systems.
Familiarity with medical coding systems such as ICD, CPT, and HCPCS.
### Skills
Strong attention to detail to ensure accuracy in all aspects of billing and coding.
Excellent time management skills with the ability to prioritize tasks and meet deadlines.
Effective communication and interpersonal skills for working with patients, insurance companies, and healthcare providers.
Advanced English level is required.","lang_code": "en"}

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