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Medical Billing Specialist

 

JOB SUMMARY:

Responsible for collecting, posting and managing Medicare, Medicaid, and Private Insurance account payments. Responsible for submitting insurance claims and following up with insurance companies.

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 Call us at 404-MEDSIDE

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ESSENTIAL FUNCTIONS:

  • Prepares and submits clean claims to various insurance companies by paper.
  • Answers questions from patients, clerical staff and insurance companies.
  • Identifies and resolves billing complaints.
  • Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor.
  • Responsible for correcting and resubmitting claims to third party players.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  • Make applicable changes to rejected claims based on the insurance company's input.
  • Continue to follow-up on claims until they are resolved. Prepares appeals when claims are denied
  • Keep track of all claims and payments.

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