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

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Job Overview

The Reimbursement Specialist/Medical Biller plays a crucial role in ensuring that claims are processed efficiently while providing exceptional support to patients regarding their billing inquiries. This position, which is contracted on a short-term basis, involves comprehensive interaction with patients to guide them through their billing process, resolve issues related to claims, and ensure compliance with various healthcare regulations. The ideal candidate will possess a strong understanding of medical billing procedures and be capable of navigating complex reimbursement scenarios to facilitate timely payments.

Job Responsibilities

• Process and submit medical claims to insurance companies in a timely manner.
• Review and resolve billing discrepancies with insurance providers and patients.
• Communicate effectively with patients to explain their bills and ensure understanding of their account status.
• Follow up on outstanding claims and ensure prompt resolution of issues.
• Verify patient insurance eligibility and benefits prior to service.
• Maintain detailed and accurate records of interactions and billing processes.
• Stay informed about medical billing regulations and compliance requirements.

Qualifications

• High school diploma or equivalent; an Associate's degree in healthcare administration or a related field is preferred.
• A minimum of 2 years of experience in medical billing or a related role.
• Knowledge of healthcare reimbursement methodologies, including CPT, ICD-10, and HCPCS coding.
• Strong analytical skills and attention to detail.
• Excellent communication and customer service skills.
• Proficiency in medical billing software and electronic health record (EHR) systems.
• Ability to work independently in a remote environment.

Technologies & Tools

This position requires proficiency in various technologies and tools essential for billing processes, including electronic health record (EHR) systems, medical billing software (e.g., Epic, Cerner), and Microsoft Office Suite. Familiarity with reimbursement and claims processing platforms will be beneficial in maximizing efficiency and accurately tracking billing information.

Ideal Candidates

The ideal candidate for the Reimbursement Specialist/Medical Biller position will exhibit a strong commitment to providing excellent patient support and demonstrate the ability to navigate complex billing queries with professionalism. They should possess keen analytical capabilities for problem-solving and have a proactive approach to managing claims. Exceptional time management skills and the ability to work autonomously in a remote setting are essential. Furthermore, a candidate who thrives in a fast-paced environment and maintains a patient-centric focus will excel in this role.