Billing Specialist
hace 1 semana
THE JOB AT A GLANCE
This position is responsible for the completion of all tasks and duties required of a Medical Biller. These administrative and billing tasks are vital in ensuring our patients are billed accurately. This role is critical in maintaining patient satisfaction and operational success at our multiple clinics throughout the US from a central location.
WHAT YOU'll DO
- Follow detailed instructions on claim processing projects, establishing high rate of productivity
- Research, process and follow-up on claim re-submittals
- Research and resolve billing problems or issues
- Maintain operational integrity by following policies and procedures; but also suggesting process improvements that will benefit patients, clinicians, colleagues and overall operations
- Commanding understanding of Carbon's payers and their policies, payer portals, billing hub, and Waystar
- Multi-tasking with all of the above
ABOUT YOU
- A minimum of 36 months and up to 5 years of US Healthcare Experience with the Knowledge &
Skills required for the profile are;
- Multi years' experience in US Health care handling- Physician, Outpatient Claims, Understanding and validation of patient eligibility, knowledge of CPT codes, DX codes, NPI numbers, Revenue codes, and Provider TaxIDs.
- Proficient in Denial and Rejection handling
- Experience to handle Multiple Providers' Claims,
- Experience handling Medicare and Medicaid Claims- Establishing Patient Eligibility
- Knowledge in Patient Demographics, Coordination of Benefits, Knowledge of Primary Rules and Determinations
- Knowledge of all Provider types- such as, Billing Provider, Referring Provider, Rendering Provider etc.
- Knowledge of Medical Terminology, Basic Anatomy and Physiology
- Ability to multi-task with all of the above
- Familiarity with Google Suite apps and working knowledge of Excel
- Must have the ability to remain focused and calm during stressful situations
- In depth knowledge of how US health insurance works
- Must have the ability to speak, read, and write in English clearly and professionally
- Possess strong organizational skills and prioritization
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