About the Role
The role involves processing and managing medical claims to ensure accurate billing and timely payment while adhering to regulatory standards and payer requirements.
Responsibilities
- Review and submit medical claims for healthcare services rendered
- Verify insurance eligibility and patient benefits prior to claim submission
- Monitor claim status and follow up on unpaid or denied claims
- Resolve claim rejections and billing discrepancies efficiently
- Ensure coding accuracy and compliance with payer guidelines
- Collaborate with clinical and administrative teams to obtain necessary documentation
- Process patient billing statements and adjustments
- Maintain up-to-date knowledge of payer policies and regulatory changes
- Respond to inquiries from insurance companies and patients regarding claims
- Utilize billing software and electronic health record systems accurately
- Identify and correct claim errors to reduce denials and delays
- Support audits and compliance reviews related to billing practices
- Assist in the training of new team members on billing procedures
- Track key performance metrics for claims processing
- Ensure patient data confidentiality in accordance with privacy regulations
- Work cross-functionally to improve billing cycle efficiency
- Stay current with changes in healthcare billing standards
- Prepare reports on claims status and reimbursement trends
- Escalate complex billing issues to supervisors when necessary
- Support process improvements to enhance claims accuracy and speed
Compensation
Not specified
Work Arrangement
Remote
Team
Part of the revenue cycle management team focused on claims processing and financial integrity
Why Join Us
- Opportunity to work in a growing healthcare organization focused on innovation and patient-centered care
- Supportive team environment with a focus on professional development
Technology Stack
- Utilizes modern EHR and billing platforms to streamline claims processing
- Relies on data analytics tools for performance tracking and reporting
Not available
