Medical Billing Specialist
hace 7 días
We are seeking a highly skilled Medical Billing Specialist to join our team at Insignia Resources. The successful candidate will be responsible for managing and reducing financial risks associated with unpaid invoices and customer defaults. Key responsibilities include assessing creditworthiness, developing insurance policies, and underwriting applications.
Our ideal candidate will have strong analytical skills to review and interpret insurance policies, coding guidelines, and reimbursement rules. They will also possess excellent problem-solving and decision-making skills to navigate complex situations and make sound judgments to resolve issues in a timely manner.
The healthcare and insurance industries are constantly evolving. We are looking for someone who is adaptable to change and willing to learn and stay updated with new regulations, coding guidelines, and industry best practices.
Responsibilities:
- Accurately process insurance claims submitted by healthcare providers on behalf of their patients.
- Verify patients' insurance coverage, recode, and resubmit claims electronically or via paper forms.
- Monitor the status of claims, identify, and address any issues or rejections.
- Maintain proper documentation of all insurance-related activities and ensure compliance with regulatory requirements.
Requirements:
- A strong understanding of insurance terminology, policies, and procedures.
- Proficiency in medical billing and medical coding systems such as ICD-10 and CPT.
- Strong analytical skills to review and interpret insurance policies, coding guidelines, and reimbursement rules.
- Strong problem-solving and decision-making skills to navigate through complex situations.
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