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

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Overview

The Reimbursement Specialist/Medical Biller plays a critical role in managing patient billing inquiries and providing exceptional support within a remote Patient Support Call Center. This individual will be responsible for verifying insurance coverage, processing claims, and addressing billing concerns to ensure timely reimbursement. The professional will engage with healthcare providers and patients to facilitate resolutions and promote an efficient billing process, making significant contributions to operational success in a fast-paced, client-focused environment.

Job Responsibilities

• Verify patient insurance coverage and eligibility to ensure accurate billing.
• Process and submit medical claims to insurance carriers and other payers.
• Address patient inquiries regarding billing, payment plans, and account balances.
• Resolve billing discrepancies and follow up on outstanding claims to facilitate reimbursement.
• Maintain detailed records of patient interactions and billing activities in the CRM system.
• Collaborate with healthcare providers and billing departments to resolve complex billing issues.
• Conduct audits on claims submissions for compliance with regulatory standards.
• Stay updated on payer policies and changes in billing regulations to ensure accurate processing.

Qualifications

• High school diploma or equivalent; associate degree in billing or health administration preferred.
• Minimum of 2 years of experience in medical billing or healthcare reimbursement.
• Strong understanding of medical billing processes and health insurance terminology.
• Proficiency in electronic health records (EHR) and medical billing software.
• Excellent communication and customer service skills to effectively handle patient interactions.
• Strong problem-solving abilities and attention to detail.
• Familiarity with ICD-10, CPT codes, and HIPAA regulations.

Technologies & Tools

This position utilizes various technologies and tools to facilitate billing and patient support functions. The successful candidate will be expected to work with electronic health record (EHR) systems, medical billing software, customer relationship management (CRM) tools, and secure data management platforms. Familiarity with these systems is essential to ensure accurate and efficient handling of patient billing inquiries and claims processing.

Ideal Candidates

The ideal candidate for the Reimbursement Specialist/Medical Biller position will possess strong analytical skills along with a dedicated work ethic and a passion for delivering excellent patient service. A proactive attitude and the ability to thrive in a dynamic remote work environment are crucial. Candidates should be detail-oriented, with exceptional organizational skills and the ability to multitask effectively. Strong interpersonal skills are necessary to foster positive relationships with patients and healthcare providers while navigating complex billing concerns.