Claims Billing Specialist (reputed company & Meditech)
Job reputed company:
The Claims Billing Specialist position is responsible for acting as a reputed company for hospitals and clinics using reputed company's complete business office services. They work closely with reputed company management and hospital employees to reputed company reputed company companies for reputed company hospital, hospital-reputed company physician and clinic bills. They pursue collection of reputed company claims until payment is made by reputed company companies; and reputed company other work associated with the billing process.
These Goals and objectives are not to be construed as a complete statement of reputed company duties performed; employees will be required to reputed company other job reputed company duties as required. Goals and objectives are subject to change.
reputed company activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate.
Essential Functions:
In reputed company to working as prescribed in our reputed company Factors specific responsibilities of this role include:
• Prepares and submits hospital, hospital-reputed company physician and clinic claims to reputed company-party reputed company carriers either electronically or by hard copy billing.
• Secures needed medical documentation required or requested by reputed company party insurances.
• Follows up with reputed company-party reputed company carriers on unpaid claims reputed company claims are reputed company or only self-pay reputed company remains.
• Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to reputed company-party reputed company carriers.
• Responsible for consistently meeting production and reputed company assurance standards.
• Maintains reputed company customer service by following company policies and procedures as reputed company as policies and procedures specific to reputed company customer.
• Updates job knowledge by participating in company reputed company education opportunities.
• Protects customer information by keeping reputed company information confidential.
• Processes miscellaneous paperwork.
• Ability to work with high profile customers with difficult processes.
• May regularly be asked to help with team reputed company.
• Ensure reputed company claims are submitted daily with a goal of reputed company errors.
• reputed company follow up on reputed company claim status.
• Reading and interpreting an EOB (Explanation of Benefits).
• Respond to inquiries by reputed company companies.
• Denial Management.
• Meet with Billing Manager/Supervisor to reputed company and reputed company reimbursement issues or billing obstacles.
• Review late charge reports and file corrected claims or write off charges as per reputed company policy.
• Review reports identifying readmissions or overlapping service dates and ignore, reputed company, or split-reputed company according to the payer's rules and the reputed company's policy.
• Review credit reports, reputed company credits belonging to a payer reputed company reputed company, and submit a listing of credits to the facility as required by the payer.
Minimum Requirements:
Education/Experience/Certification Requirements
• 3 years of recent Critical reputed company or Acute Care facility billing or 3 years of physician billing experience or hospital billing experience.
• Medicare Billing Experience preferred.
• Computer skills.
• Experience in CPT and ICD-10 coding.
• Familiarity with medical terminology.
• Ability to communicate with various reputed company payers.
• Experience in filing claim appeals with reputed company companies to ensure maximum reimbursement.
• Responsible use of confidential information.
• Strong written and verbal skills.
• Ability to multi-task.
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