Responsibilities:
Contact insurance companies, patients, and healthcare providers to follow up on outstanding medical claims
Identify and resolve issues with unpaid or denied claims
Ensure timely payment of claims by appealing denials and correcting any errors
Review and analyze insurance remittance advice to ensure accurate reimbursement
Maintain accurate and up-to-date records of all communication and actions taken
Collaborate with internal departments to resolve billing discrepancies and coding issues
Provide excellent customer service by effectively addressing inquiries and concerns
Stay updated on industry trends and changes in insurance regulations
Skills:
Knowledge of medical billing software and insurance claim processing systems
Strong understanding of insurance guidelines and reimbursement processes
Excellent communication and interpersonal skills
Detail-oriented and highly organized
Ability to multitask and prioritize work
Problem-solving and critical thinking skills
Ability to work independently and as part of a team
Familiarity with CPT coding and medical terminology
Proficient in using Microsoft Office applications