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Medical Billing/AR Specialist

Key Responsibilities:

  • Generate and submit medical claims to insurance companies promptly and accurately.
  • Monitor and follow up on outstanding claims, identifying and resolving any issues causing delays in payment.
  • Process payments from insurance companies and patients, posting them accurately in the billing system.
  • Verify insurance benefits and obtain necessary pre-authorizations for medical procedures.
  • Ensure accurate entry of patient insurance information and demographics in the billing system.
  • Possess a strong understanding of VOBs (Verification of Benefits) and Authorization processes.
  • Work closely with healthcare providers to obtain and track necessary authorizations for medical services.
  • Review and ensure the accuracy of CPT and ICD-10 codes on medical claims.
  • Stay updated on coding guidelines and regulations to maintain compliance.
  • Communicate effectively with insurance companies, healthcare providers, and patients to resolve billing issues.
  • Provide excellent customer service to address inquiries related to billing and accounts receivable.
  • Documentation and Reporting.
  • Maintain thorough and organized documentation of all billing activities.
  • Generate regular reports on accounts receivable status, claim denials, and other relevant metrics.
  • Collaborate with internal teams, including healthcare providers and administrative staff, to streamline billing processes and enhance overall efficiency.
  • Stay informed about changes in healthcare regulations, billing codes, and industry best practices to ensure compliance.

Qualifications:

  • Minimum of 1 year of experience in Medical Billing/Accounts Receivable.
  • Strong knowledge of VOBs and Authorization processes.
  • Proficient in using billing software like Epic.
  • Excellent communication and interpersonal skills.
  • Detail-oriented and able to work efficiently in a fast-paced environment.
  • Ability to maintain confidentiality and adhere to HIPAA regulations.

    If you meet the above qualifications and are looking for a rewarding career in medical billing, we invite you to apply for this position. Codrivity offers a competitive salary, a supportive work environment, and opportunities for professional growth.

    Join us in making a positive impact on healthcare delivery through effective medical billing practices.

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