
Medical Billing Specialist
1 day ago
Medical Billing Specialist
">We are seeking a highly skilled Medical Billing Specialist to manage outstanding claims, follow up with insurance providers and patients, and ensure accurate payments for healthcare services.
As a Medical Billing Specialist, you will be the crucial link between the finance team, insurance companies, and our patients to resolve outstanding balances.
Responsibility Areas:
- Handle US Healthcare providers/ Physicians/ Accounts Receivable.
- Work closely with the team leader.
- Ensure that deliverables to the client adhere to quality standards.
- Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
- Call the insurance carrier & Document the actions taken in claims billing summary notes.
- Review emails for any updates.
- Identify issues and escalate the same to the immediate supervisor.
- Update Production logs.
- Achieve strict adherence to company policies and procedures.
Desired Profile:
- Sound knowledge in Healthcare concepts (Physician Billing).
- Minimum 2 Year of AR calling Experience in US Healthcare.
- Excellent Knowledge on RCM, Medicare, Medicaid, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, CPT codes, Office code visits, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house etc.
- Understand client requirements and specifications of the project.
- Proficient in calling the insurance companies.
- Meet targeted collections on a daily/monthly basis.
- Meet productivity targets of clients within stipulated time.
- Accurately and timely follow up on pending claims wherein required.
- Prepare and Maintain status reports.
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