Medical Billing and Reimbursement Specialist

Job Description

Job Description

Join our team as a Medical Billing and Reimbursement Specialist , where your attention to detail, strong organizational skills, and ability to thrive in a fast-paced environment will make a real impact. We’re looking for a proactive and customer-focused professional who can prioritize effectively, work independently using established procedures, and contribute to ongoing process improvements. The ideal candidate excels in clear communication, builds positive relationships with both peers and leadership, and remains flexible in the face of departmental change. If you’re a problem-solver who enjoys multitasking while delivering exceptional service, we want to hear from you!

• Provide patient balance estimates, collect patient payments and verify insurance for all payers, including Medicare, Medicaid, and commercial insurances
• Answer and respond to telephone, voicemail, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers
• Initiate, submit and obtain prior authorizations
• Process, sort, and direct incoming and outgoing mail to the appropriate teams and departments
• Maintain patient accounts by appropriately notating, updating, and collecting patient demographic, and insurance information
• Request medical records and other patient/provider information, when appropriate
• Process credit card transactions received from patients and insurance carriers
• Process patient financial hardship applications and reviews requests for account adjustments
• Adhere to appropriate quality control, confidentiality, and HIPAA guidelines
• Assist with insurance appeal and claim follow up activities
• Attend staff meetings
• Perform monthly reporting on performance and activities

QUALIFICATIONS:

• Bachelor’s degree, preferred
• Minimum 5 years of customer service, insurance verification, authorization and insurance billing required
• Ability to identify insurance contract opportunities / requirements and communicate the same to payer relations
• Previous experience with medical claims processing, insurance verification, medical records and insurance terminology required
• Competency with Windows PC Applications, including Microsoft Word and Microsoft Excel; strong keyboard and navigation skills and ability to learn new computer skills & applications

Note: Qualified candidates will be contacted within 2 business days of application. If an applicant does not meet the above criteria, we will keep your resume on file for future opportunities and may contact you for further discussion.
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