Reimbursement Specialist/Medical Biller - Patient Support Call Center - Remote (Short-term Contract)

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Job Overview

The Reimbursement Specialist/Medical Biller - Patient Support Call Center (Remote, Short-term Contract) at Talentify.io is responsible for facilitating the reimbursement process for healthcare services provided to patients. The role involves engaging with insurance companies and patients to resolve discrepancies, processing medical claims, and ensuring that all billing information is accurate and compliant with regulations. The ideal candidate will act as a liaison between patients and the healthcare provider, offering patient support while navigating complex billing and reimbursement issues in a timely and efficient manner.

Job Responsibilities

• Process and submit medical claims to insurance companies effectively, ensuring accuracy and timeliness.
• Follow up on unpaid or denied claims, appealing decisions when necessary to secure reimbursement.
• Provide exceptional patient support by addressing inquiries related to insurance coverage and billing statements.
• Maintain accurate and up-to-date records of all billing activities, claims submissions, and patient communications.
• Collaborate with healthcare providers, insurance representatives, and patients to resolve billing issues.
• Stay abreast of changes in regulations and policies related to medical billing and reimbursement.

Qualifications

• High school diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration, finance, or related field preferred.
• Minimum of 2 years experience in medical billing or reimbursement, preferably in a call center environment.
• In-depth knowledge of medical billing codes (CPT, ICD-10) and insurance policies.
• Proficient in using medical billing software and electronic health record (EHR) systems.
• Strong analytical skills with an attention to detail and accuracy.
• Excellent verbal and written communication skills, with a customer service oriented approach.

Technologies & Tools

The Reimbursement Specialist/Medical Biller will utilize various technologies and software tools essential for conducting daily responsibilities. This includes, but is not limited to, electronic health record (EHR) systems for patient data management, knowledgeable use of billing software for claims submission and tracking, and customer relationship management (CRM) systems to facilitate efficient communication with patients and healthcare providers. Familiarity with Microsoft Office Suite, particularly Excel, for reporting purposes, is also beneficial.

Ideal Candidates

Ideal candidates for the Reimbursement Specialist/Medical Biller position possess strong organizational skills and a methodical approach to problem-solving. They demonstrate an ability to work independently while maintaining communication with team members and management. A commitment to providing outstanding customer service and a positive attitude towards patient engagement are critical characteristics. Additionally, those who exhibit a proactive approach to learning about healthcare policies and billing practices will thrive in this role, making them a valuable asset to the organization.