Medical Insurance Billing Specialist
JOB
Summary:
A nonexempt position responsible for the proper and timely processing of claims and payments to providers.
Supervisory
Responsibilities:
NoneDuties/
Responsibilities:
Follows up on denied or pended medical claims and answers associated correspondence.
Resubmits corrected claims to payers and files appeals if necessaryAnalyzes unpaid claims and determines correct course of action to resolve.
Communicates payer trends or issues to management.
Required Skills/Abilities:
Education:
High school diploma.
Some college preferred but not required.
Experience:
2 to 3 years health care experienceWorking knowledge of CPT and ICD10Knowledge of health care insurance claim practices and compliance.
Knowledge of computer systems, programs, and applications.
Knowledge of medical terminology.
Skills:
Skill in researching and reporting claim information.
Skill in trouble-shooting claim insurance problems.
Skill in written and verbal communication and customer relations.
Abilities:
Ability to work effectively with physicians, other medical staff, and external agencies.
Ability to identify and analyze claim problems.
OTHER KEY SKILLS:
Team player - possess a positive attitude and demonstrates honesty and integrity in all endeavors.
Ability to understand, apply and analyze financial data.
Strong work ethic with the ability to self-start and work independently or as part of a diverse team.
Detail oriented and organized with the ability to easily identify areas that require improvement.
#CT%20659903% %% category %% Recommended Skills Customer Service Finance Receivables Accounting Billing Systems Accounts Receivable Estimated Salary: $20 to $28 per hour based on qualifications.
Summary:
A nonexempt position responsible for the proper and timely processing of claims and payments to providers.
Supervisory
Responsibilities:
NoneDuties/
Responsibilities:
Follows up on denied or pended medical claims and answers associated correspondence.
Resubmits corrected claims to payers and files appeals if necessaryAnalyzes unpaid claims and determines correct course of action to resolve.
Communicates payer trends or issues to management.
Required Skills/Abilities:
Education:
High school diploma.
Some college preferred but not required.
Experience:
2 to 3 years health care experienceWorking knowledge of CPT and ICD10Knowledge of health care insurance claim practices and compliance.
Knowledge of computer systems, programs, and applications.
Knowledge of medical terminology.
Skills:
Skill in researching and reporting claim information.
Skill in trouble-shooting claim insurance problems.
Skill in written and verbal communication and customer relations.
Abilities:
Ability to work effectively with physicians, other medical staff, and external agencies.
Ability to identify and analyze claim problems.
OTHER KEY SKILLS:
Team player - possess a positive attitude and demonstrates honesty and integrity in all endeavors.
Ability to understand, apply and analyze financial data.
Strong work ethic with the ability to self-start and work independently or as part of a diverse team.
Detail oriented and organized with the ability to easily identify areas that require improvement.
#CT%20659903% %% category %% Recommended Skills Customer Service Finance Receivables Accounting Billing Systems Accounts Receivable Estimated Salary: $20 to $28 per hour based on qualifications.
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