Job Description

A well-known healthcare organization is seeking to hire a Medical Billing Specialist. They are continuing to grow and need to add a new person to the team. In this seat, you will be responsible for reviewing claims and following up on unpaid claims, communicating with payers to address issues, and conducting monthly reports of insurance follow up reports. 

RESPONSIBILITIES:

• Perform weekly billing with the contracted insurance companies
• Handle all outstanding balance amounts
• Monitor AR report and follow up on the status of pending claims
• Respond to claim denials according to the contract regulated procedures
• Make outbound collection communications with the agency's contracts in a professional manner
• Collect contract payments in accordance with claim payment due dates
• Resubmit and/or appeal underpaid/unpaid claims as appropriate
• Review and direct assigned accounts and all applicable collection reports
• Report to the company's management on the status of payment resolutions

Requirements

• Must have strong communication, problem solving and analytical skills
• Ability to work independently and adapt to a fast changing environment
• Working knowledge of PC, MS Word, MS Excel, MS Outlook required
• Prior experience in HHA eXchange preferred, but willing to train
• Must have attention to detail with an eye for accuracy
• Creative, self-disciplined and capable of identifying and completing critical tasks independently and with a sense of urgency

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