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Billing Specialist for a Health Institute in the US (Home Based Full Time)

72% Flex
Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Knowledge of healthcare billing regulations, Experience in processing insurance claims.

Key responsabilities:

  • Process claims accurately and efficiently
  • Resolve claim rejections and discrepancies
  • Follow up on unpaid claims and outstanding balances
  • Collaborate with clinical/administrative staff to address inquiries
  • Generate reports and analyze billing data
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Job description

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Your missions

• Accurately and efficiently process all claims for services provided by Company's providers.
• Prepare and submit electronic or paper claims to insurance companies, ensuring compliance with billing regulations and guidelines.
• Review and resolve claim rejections, denials, and discrepancies by investigating and correcting billing inaccuracies or errors.
• Follow up on unpaid claims and outstanding balances, contacting insurance companies, patients, or third-party payers to facilitate payment resolution. • Monitor patient statements and invoices for outstanding balances providing clear and accurate explanations of charges and payment options.
• Collaborate with clinical and administrative staff to address billing inquiries, resolve billing issues, and streamline billing processes.
• Update patient accounts and billing records with accurate and complete information, including payments, refunds, or adjustments.
• Generate reports and analyze billing data on (KPIs) such as billing volume, submission timelines, insurance rates, and updates, claim acceptance rates, and other data-driven insights to track billing trends, identify areas for improvement, and optimize revenue cycle management.
• Maintain up-to-date knowledge of healthcare billing regulations, coding guidelines, and insurance policies to ensure compliance and maximize reimbursement.
• Support a positive and collaborative work environment.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Soft Skills

  • Attention to Detail
  • Interpersonal Skills
  • Problem Solving
  • Team Collaboration

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