Medical Claims Specialist

We are seeking a detail-oriented and organized individual to join our team as a Medical Claims Specialist. As a crucial member of our administrative team, you will be responsible 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.
• Patient Communication: Communicate with patients regarding their outstanding balances and assist them in understanding their bills.
• Monitor Payments: 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.
• Documentation: Prepare invoices and document amounts due for medical procedures and services.
• Compliance: Adhere to HIPAA regulations to ensure patient confidentiality.

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.