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Insurance Billing Specialist
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Job Description
- Req#: 6793508
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $33.85 per hour
- Opportunity for career advancement and growth within the organization
- Flexible remote work option available
- Supportive and collaborative work environment
- Chance to make a significant impact on billing accuracy and reimbursement processes
What to Expect (Job Responsibilities):
- Prepare, submit, and follow up on out-of-network claims to insurance companies
- Review and analyze denied or underpaid claims to identify root causes of denials
- Monitor and manage accounts receivable aging reports for outstanding claims
- Maintain compliance with HIPAA and other regulatory standards
- Liaise with clinical staff, patients, and insurance companies to resolve claim-related issues
What is Required (Qualifications):
- Minimum of 3-5 years of experience in medical billing, with a focus on out-of-network billing
- Experience in handling denials, appeals, and accounts receivable follow-up
- Proficiency in medical billing software and electronic health records (EHR)
- Strong understanding of out-of-network reimbursement practices and payer policies
- Excellent verbal and written communication skills, with the ability to negotiate effectively with insurance payers
How to Stand Out (Preferred Qualifications):
- Familiarity with payer-specific requirements and insurance portals
- Ability to analyze denial trends and identify opportunities for process improvements
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