
Accurate Claim Submission Expert
1 day ago
As a Medical Billing Specialist, you will play a pivotal role in optimizing billing processes to ensure timely and accurate submission of claims.
- Manage the processing of claims to guarantee compliance with industry guidelines and regulations.
- Review and address billing discrepancies, implementing corrective actions as needed.
- Develop and implement effective billing policies and procedures to enhance accuracy and efficiency.
- Collaborate with various departments to ensure accurate coding and documentation.
- Analyse 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 records systems, ensuring they are up-to-date and functioning properly.
- Stay informed about changes in revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.
- Bachelor's degree in business administration, healthcare administration, finance, or a related field is required.
- Proven experience with billing systems, payer guidelines, and regulatory compliance.
- Strong understanding of revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges.
- Up-to-date knowledge of federal regulations and industry standards impacting medical billing practices.
- Familiarity with billing software and electronic health records systems.
- Strong analytical skills, attention to detail, and ability to work independently.
- Excellent communication and collaboration skills.
The ideal candidate will be rewarded with a competitive compensation package and opportunities for growth and development within the organization.
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