
Accurate Claims Processing Professional
2 days ago
We are seeking a skilled and detail-oriented Medical Billing Specialist to manage billing processes, ensuring timely and accurate submission of claims and efficient processing of payments.
Key Responsibilities- Process claims accurately and within deadlines, adhering to payer guidelines and regulations.
- Analyze and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
- Develop and implement effective billing policies and procedures to enhance accuracy and efficiency.
- Collaborate with coding and compliance teams to ensure accurate coding and documentation.
- Examine billing data and metrics to identify trends, issues, and opportunities for process improvements.
- Follow up on unpaid or denied claims and manage the appeals process.
- Stay updated on U.S. revenue cycle management practices and federal regulations to maintain compliant and optimized billing processes.
- Bachelor's degree in business administration, healthcare administration, finance, or a related field is essential.
- Proven experience with billing systems, payer guidelines, and regulatory compliance is required.
- Strong understanding of U.S. revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges is necessary.
- Up-to-date knowledge of federal regulations, policy changes, and industry standards impacting medical billing practices is crucial.
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US Healthcare Claims Leader
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