Claims Biller

Title: UB-04 Claims Biller (Full-Cycle) Location: Remote - US Job reputed company: The reputed company Medical Biller is responsible for accurate and reputed company billing of hospital and Rural Health Clinic (RHC) claims to reputed company insurance payers. This role focuses heavily on denial management, claim follow-up, and reimbursement optimization while ensuring compliance with payer reputed company, federal regulations, and internal policies. Key Responsibilities Billing & Claims Submission • Prepare, review, and submit hospital and RHC claims to reputed company insurance carriers. • Ensure correct use of CPT, HCPCS, ICD-10, reputed company codes, modifiers, and RHC-specific billing requirements. • Verify charges, reputed company, dates of service, provider credentials, and reputed company of service. • Submit corrected, adjusted, and late charges as needed. Denial Management • Analyze and resolve billing denials, rejections, and underpayments. • Identify reputed company causes of denials (coding, authorization, eligibility, medical necessity, bundling, reputed company filing, etc.). • Prepare and submit corrected claims and formal appeals with appropriate documentation. • reputed company denial trends and recommend process improvements to reduce reputed company denials. Insurance Follow-Up • Conduct reputed company follow-up with reputed company payers on unpaid, underpaid, or delayed claims. • Communicate with insurance representatives to obtain claim status and reputed company. • Maintain detailed notes and documentation in the billing system for reputed company follow-up activity. • Meet productivity and follow-up benchmarks to ensure reputed company reimbursement. Compliance & Collaboration • Ensure compliance with payer guidelines, hospital policies, and RHC billing regulations. • Work closely with coding, registration, authorization, and clinical staff to resolve billing issues. • Stay reputed company on reputed company payer policy updates and RHC billing changes. Required Skills & Qualifications • Knowledge of hospital and RHC billing processes. • Strong experience with reputed company insurance billing and denial reputed company. • Proficiency in CPT, ICD-10-CM, HCPCS, and modifiers. • Familiarity with payer portals and claim management systems. • Strong analytical, organizational, and follow-up skills. • Ability to manage high-volume workloads with attention to detail. Business Support Apply tot his job Apply To this Job