Medical Billing Specialist - Remote

Overview

The Billing Specialist is responsible for supporting the department in maximizing revenue and cash flow by performing charge entries, following up on all outstanding A/R, including resolution of denials, and generating effective written appeals to carriers to maximize reimbursement on incorrectly denied claims.

In Short

• Perform accurate analysis of medical records for coding.
• Validate and verify data entered by reviewing reports.
• Collaborate with managers on documentation issues.
• Ensure timely follow-up of unpaid claims and denials.
• Resolve claim rejections and initiate collection follow-up.
• Identify patterns of denials and perform account investigations.
• Pursue reimbursement from carriers and track contacts.
• Coordinate third-party collections for outstanding balances.
• Maintain patient confidentiality according to compliance policies.
• Respond to inquiries from insurance carriers with high customer service.

Requirements

• Excellent problem-solving skills.
• Detail oriented and organized.
• Able to multi-task and work quickly.
• Ability to establish effective working relationships.
• Ability to read and interpret EOBs and insurance adjustments.
• Strong computer skills.
• Able to prioritize assignments under minimal supervision.
• Ability to handle a high volume of work with speed and accuracy.
• Proven ability in collections and negotiation.

Benefits

• Competitive salary.
• Health benefits.
• Flexible working hours.
• Opportunities for professional development.
• Supportive work environment.