
Medical Claims Specialist
2 days ago
We are seeking a highly skilled and detail-oriented Medical Billing Professional to drive efficient revenue cycle management processes.
Key Responsibilities:- Oversee accurate and timely claim processing, ensuring compliance with payer guidelines and regulations.
- Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
- Develop and implement billing policies and procedures to improve accuracy and efficiency.
- Collaborate with coding, compliance, and other departments to ensure accurate coding and documentation.
- Analyze billing data and metrics to identify trends, issues, and opportunities for process improvements.
- Ensure proper follow-up on unpaid or denied claims and manage the appeals process.
- Oversee the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.
- Stay informed about changes in U.S. revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.
- Provide guidance and training to the billing team on evolving industry standards and policy updates.
Benefits: Our ideal candidate will have the opportunity to work in a dynamic environment, collaborating with a talented team to drive business growth and excellence.
Requirements: To be successful in this role, you will need excellent communication and analytical skills, a strong attention to detail, and the ability to work effectively in a fast-paced environment.
What We Offer: Competitive salary, comprehensive benefits package, and opportunities for professional development and growth.
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