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Medical Claims Billing Specialist
6 days agoWhat's your preference?
Job Description
- Req#: 744000095624500
Employer Industry: Healthcare Technology
Why consider this job opportunity:
- Hourly pay range of $24 to $26, exclusive of bonuses and benefits
- Eligible for an annual bonus targeted at 10%
- Comprehensive benefits package including medical, dental, vision, life, and pet insurance, as well as 401K and paid time off
- Opportunity for career advancement within a technology-driven healthcare environment
- Supportive work culture that encourages diversity and inclusion
- Option for remote work with reimbursement for home office expenses
What to Expect (Job Responsibilities):
- Manage accounts receivable (AR) by analyzing aged AR and identifying root cause issues
- Handle denial management by investigating sources, resolving issues, and appealing denials
- Make independent decisions regarding claim adjustments, resubmissions, and appeals
- Collaborate with internal teams and care center staff to enhance revenue cycle functionality
- Drive achievement of department's daily and monthly Key Performance Indicators (KPIs)
What is Required (Qualifications):
- High School Graduate
- Minimum of 3 years of experience in a physician medical billing office
- Strong understanding of revenue cycle performance and ability to resolve complex claims
- Experience with major payers such as Anthem, Medicare/Medicaid, United Healthcare, and Carefirst
- Proficiency in Athena EHR and advanced Microsoft Excel skills, including pivot tables and VLOOKUP
How to Stand Out (Preferred Qualifications):
- Experience supporting medical claims billing in the DC/MD/VA area
- Familiarity with Washington payors
- Prior experience in a Rural Health Clinic environment
#HealthcareTechnology #MedicalBilling #RevenueCycleManagement #CareerGrowth #RemoteWork
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