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Medical Billing Specialist
6 days agoWhat's your preference?
Job Description
- Req#: 169590
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on the revenue cycle and claims processing
- Engage in special projects to enhance operational efficiency
- Work in a role that emphasizes customer service and teamwork
What to Expect (Job Responsibilities):
- Prepare, review, and transmit hospital claims using billing software, including electronic and paper claim processing
- Identify and bill secondary or tertiary insurances, and work on rejected claims for timely re-submission
- Research and resolve claim re-submission appeals and inquiries for Medicaid
- Document account activities accurately and in a timely manner in accordance with quality standards
- Ensure compliance with all state and federal billing regulations and report suspected compliance issues
What is Required (Qualifications):
- High school diploma or equivalent
- Minimum of two years of hospital billing experience
- Ability to follow applicable Medicare and Medicaid regulations, including HIPAA
- Strong knowledge of insurance billing regulations and guidelines
- Excellent communication skills and a positive customer service attitude
How to Stand Out (Preferred Qualifications):
- Certification as a Certified Revenue Cycle Specialist (CRCS) from AAHAM or Certified Revenue Cycle Representative (CRCR) from HFMA
- Experience in improving processes for the revenue cycle team
#HealthcareServices #BillingSpecialist #ClaimsProcessing #CareerOpportunity #CustomerService
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