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Claims Billing Specialist (OBGYN, CareFirst)
This job is now closed
Job Description
- Req#: 744000115665057
Employer Industry: Healthcare Technology
Why consider this job opportunity:
- Hourly pay range of $24.45 to $26.45, with potential for an annual bonus targeted at 10%
- Comprehensive benefits package including medical, dental, vision, life, and pet insurance, 401K, and paid time off
- Opportunity for career advancement within a technology-driven, national physician enablement company
- Supportive and inclusive work environment that values diversity and community representation
- Flexibility for remote work with expense reimbursement for home office setup
What to Expect (Job Responsibilities):
- Manage accounts receivable (AR) including analysis of aged AR and identifying root causes of issues
- Investigate, resolve, and appeal denial sources by collaborating with payer representatives
- Make independent decisions regarding claim adjustments, resubmissions, and appeals
- Collaborate with internal teams and care center staff to optimize revenue cycle functionality
- Drive achievement of department's Key Performance Indicators (KPIs) through a team-focused approach
What is Required (Qualifications):
- High School Diploma or equivalent
- Minimum of 3 years of experience in a physician medical billing office
- Advanced skills in Microsoft Excel and Google Sheets, including pivot tables and formulas
- Understanding of revenue cycle performance drivers and ability to resolve complex claims and denial trends
- Compliance with HIPAA rules and regulations
How to Stand Out (Preferred Qualifications):
- Experience with Athena EHR and CareFirst MD
- Familiarity with Medicare Advantage and USDOL
- Experience with major payers such as Anthem, Medicare/Medicaid, and United Healthcare
#HealthcareTechnology #MedicalBilling #RemoteWork #CareerGrowth #DiversityAndInclusion
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