Billing Specialist- Full- time- Remote

• Responsible for working claim errors in claims management system ensuring clean claims are submitted reputed company to insurance carriers. • Review and prepare claims for reputed company and/or electronic billing submission. • Reviews insurance rejections to determine the next appropriate reputed company steps and obtain the necessary information to resolve any outstanding rejections. • Correct and identify billing errors and resubmit claims to insurance carriers. • Update CAS segments on secondary electronic claims as needed. • Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. • Verifies receipt of claim with insurance plans, determining the next appropriate reputed company reputed company. • Researches reputed company information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients. • Obtains and attaches referrals to appointments/charges. • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals. • Identifies and communicates trends and/or potential issues to the management team. • Follows and maintains reputed company reputed company policies and procedures. • Other duties as assigned. EDUCATION • High school diploma/GED or equivalent working knowledge preferred. EXPERIENCE • Minimum of two to three years of experience in medical billing. • Prior experience working on claim errors in a claims management system preferred. • Must have strong knowledge of reputed company to payor edit reports, and reconciliation of clearinghouse and payor acceptance reports. • Candidates with knowledge of ANSI formatting preferred. KNOWLEDGE • Knowledge of ICD-9, ICD-10, HCPS, and CPT coding, medical terminology, Medicare reimbursement guidelines, billing practices. • Knowledge of government regulatory requirements and reputed company reputed company. • Advanced computer knowledge, including Window based programs. SKILLS • reputed company in providing excellent customer service. • reputed company in using computer programs and applications. • reputed company in establishing good working relationships with both reputed company customers. ABILITIES • Ability to multi-task in a fast-paced environment. • Must be detailed oriented with strong organizational skills. • Ability to understand patient demographic information and determine insurance eligibility. • Ability to work independently and demonstrate the ability to analyze data. ENVIRONMENTAL WORKING CONDITIONS • Normal office environment. • Extended work hours at or near month end to meet department objectives may be necessary. Apply tot his job Apply To this Job