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Compliance Project Specialist - Creve Coeur - Remote/Office Hybrid for a local candidate
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Job Description
- Req#: BILLI006847
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Hybrid work environment with a combination of remote and in-office work
- Competitive benefits including multiple medical coverage options
- Generous PTO policy along with 8 paid holidays
- 401k match and profit-sharing opportunities
- Tuition reimbursement to support your professional development
- Dynamic and supportive work culture focused on patient care and employee well-being
What to Expect (Job Responsibilities):
- Conduct research on credit balances for insurance and/or patient verification
- Initiate refund processes to patients or insurance carriers after credit verification
- Make necessary charge corrections for insurance reprocessing to meet compliance thresholds
- Correct identified posting errors during credit research or refer them to the appropriate parties
- Manage and maintain project work lists to ensure completion deadlines are met
What is Required (Qualifications):
- Minimum of five years of experience in medical billing or related physician experience
- Experience with project-based work assignments
- Knowledge of credit balance identification for both insurance and patients
- Familiarity with insurance follow-up, payment posting, and account corrections in an electronic practice management system
- Intermediate working knowledge of Microsoft Excel
How to Stand Out (Preferred Qualifications):
- Billing and Coding certificates or equivalent experience
- Experience with NextGen practice management system
#HealthcareServices #Compliance #MedicalBilling #CareerOpportunity #HybridWork
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