Summary of Position/Objective
We are seeking a detail-oriented and proactive Medical Billing Specialist to manage and resolve denied insurance claims efficiently and accurately. The ideal candidate will have a strong understanding of medical billing, Medicaid coverage and insurance policies, and payer regulations. This role is crucial in ensuring prompt reimbursement and maintaining the financial health of the healthcare provider.
Essential Duties and Responsibilities
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The duties include, but are not limited to, the following:
Competencies/Qualifications/Education
Education:
High school diploma or equivalent required. Associate's degree in healthcare administration, medical billing, or related field preferred.
Experience:
Minimum of 2-3 years of experience in medical billing, claims processing, or denial management.
Skills:
Strong analytical and problem-solving skills.
Excellent written and verbal communication abilities.
Proficiency in medical billing software, EHR systems, and Microsoft Office Suite.
Detail-oriented with the ability to manage multiple tasks and meet deadlines.
Certifications:
Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent credential preferred.
Knowledge of insurance claim processing and denial resolution procedures.
Ability to interpret and apply payer-specific guidelines.
Strong organizational and time management skills.
Collaborative team player with the ability to work independently.
Certificates/Licenses/Registration
The employee shall possess a valid driver’s license and must be eligible for the agency’s vehicle insurance and provide proof of private vehicle coverage.
Supervisory Responsibility
Position does not directly supervise employees.
Physical Demand
The physical demands described here are representative of those that must be met by an employee at all times to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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