Medical Claims Specialist
We are looking for an organized and experienced medical biller to join our team. The ideal candidate will be well-versed in medical billing. We would love to see experience with either eCW or NextGen billing software. This role requires meticulous attention to detail, excellent communication skills, and a thorough understanding of both government and non-government contractual billing guidelines. This position will focus on:
- Follow-up: Regularly monitor patient account insurance balances to ensure timely payment and resolve any outstanding issues.
- Payer Communication: Contact payers regarding payment status, resolve incorrect payment issues, and ensure proper reimbursement.
- Denial Management: Work closely with leadership to address and resolve any denied claims promptly.
- Understanding Guidelines: Stay informed about both government and non-government contractual billing and follow-up guidelines, ensuring compliance with individual payer requirements.
- Payment Resolution: Address issues related to lack of payment or improper payment by government, non-government, and self-payers, ensuring that all incorrect payment issues are resolved promptly.