Billing Specialist
hace 7 días
• 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 Tax IDs.
• 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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