
Billing Resolution Specialist
2 days ago
A highly motivated Revenue Cycle Specialist is needed to join our team. The ideal candidate will have excellent communication and negotiation skills, with a strong analytical background in medical billing terminology.
Key Responsibilities:
- Follow up on pending or denied claims by contacting insurance companies or clients.
- Analyze Explanation of Benefits (EOB) and insurance correspondence to identify issues and take corrective action.
- Maintain accurate records of follow-up actions taken and resolve billing and payment issues efficiently.
- Document all call activities and outcomes accurately in the system.
- Meet daily, weekly, and monthly targets for calls and collections.
Requirements:
- Bachelor's degree in Commerce, Business Administration, or related field.
- At least 13 years of experience in AR calling, preferably in the healthcare or BPO industry.
- Familiarity with medical billing terminology (CPT, ICD-10, HCPCS) is a plus.
- Excellent verbal communication and negotiation skills.
- Proficiency in MS Office and billing software (e.g., Practice Management Systems, EPIC, or equivalent).
Preferred Skills:
- Knowledge of US healthcare revenue cycle (for medical AR caller roles).
- Experience with payer portals and denial management.
- Strong analytical and problem-solving skills.
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