Job Specification:
- Submit medical insurance claims to various insurance companies for services rendered, ensuring the claims are complete and accurate.
- Communicate with insurance companies to verify claim status, identify issues, and follow up on unpaid or denied claims.
- Review patient accounts for accuracy, including charges, insurance details, and co-payments.
- Prepare and send patient billing statements, explaining charges and payment due dates.
- Maintain and update billing records to ensure all charges are processed and payments are properly applied.
- Address patient inquiries regarding billing discrepancies, payment options, and insurance coverage.
Requirements and skills:
- Knowledge of medical billing codes (ICD-10, CPT, HCPCS) and insurance claim procedures.
- Strong understanding of insurance plans, payer policies, and reimbursement practices.
- Excellent attention to detail and ability to manage large volumes of claims.
- Strong communication skills for dealing with patients and insurance representatives.
- Proficiency in medical billing software and electronic health record systems.
- Ability to work independently and solve problems efficiently.
- Prior experience in medical billing or related fields preferred.
