Must have 1+ year of experience as a claim’s examiner in a healthcare setting. Strong in Indiana Medicare and Medicaid claims background submitting claims and analyzing outstanding accounts receivable.
Job Detail
Job Description
Responsibilities:
- Review and analyze denied or rejected medical claims to identify errors, discrepancies or missing information
- Contact insurance companies and/or patients to obtain necessary information for claim resolution
- Work with Billing and Coding teams to make corrections to claims and resubmit them for processing
- Communicate with physicians and other healthcare providers to ensure accurate documentation and billing for services rendered
- Document all claim follow-up activities in the billing system
- Appeal underpaid claims to insurance companies in a timely and efficient manner
- Maintain knowledge of insurance regulations and policies to ensure compliance with billing and coding requirements
- Collaborate with team members to identify process improvements for claims follow-up and resolution
Qualifications:
- High school diploma or equivalent required
- 1+ years of experience in medical billing and claims follow-up, physician/ Professional preferred
- Knowledge of medical terminology, ICD-10 and CPT coding
- Strong attention to detail and ability to analyze complex information
- Excellent communication and interpersonal skills
- Proficient in Microsoft Office and experience with medical billing software
- Ability to work independently and in a team environment
- Demonstrated ability to prioritize and manage multiple tasks in a fast-paced environment
- ShareAustin:
Related Jobs
- Join as a Clinical Supervisor overseeing 3 children's residential programs. Lead nursing staff, manage medical protocols, and ensure compliance. Requires RN, supervisory experience, and pediatrics passion. No weekends.