Ar excecutive US Healthcare
2 weeks ago
Responsibilities
Claim Resolution: Follow up on outstanding medical claims with insurance companies and patients.
Payment Collection: Ensure timely payment collection for services rendered.
Denial Management: Identify and resolve issues with denied claims by identifying errors and appealing them.
Record Keeping: Maintain accurate and up-to-date records of all communications and actions taken.
Payment Analysis: Review and analyze remittance advice to confirm accurate reimbursement.
Internal Collaboration: Work with other departments to resolve billing and coding discrepancies.
Customer Service: Address inquiries and concerns from patients and insurance providers.
Regulatory Compliance: Stay informed about changes in insurance regulations and industry trends.
Required Qualifications and Skills
Education: Typically requires a high school diploma or equivalent; vocational training in medical billing or coding is advantageous.
Experience: Prior experience in medical billing, collections, or customer service is often preferred.
Healthcare Knowledge: Familiarity with US healthcare insurance processes, claim denials, and common medical codes.
Technical Skills: Proficiency in using medical billing software and healthcare information systems.
Communication: Excellent verbal and written communication skills to interact effectively with payers and patients.
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