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

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Job Overview

The Reimbursement Specialist/Medical Biller in the Patient Support Call Center plays a critical role in facilitating direct communication with patients regarding their billing inquiries and reimbursement status. This position involves verifying patient information, submitting claims to insurance companies, and ensuring prompt resolution of payment issues, all while providing excellent customer service. As a remote, short-term contract role, the specialist will work diligently to streamline the billing process and assist patients in understanding their financial obligations, contributing to a positive overall experience.

Job Responsibilities

• Process and submit medical bills and reimbursement claims accurately and efficiently.
• Communicate with patients regarding their billing inquiries and assist in resolving any discrepancies.
• Verify patient information and insurance coverage to ensure claim eligibility.
• Monitor the status of submitted claims and follow up with insurance companies as needed.
• Maintain detailed records of patient interactions and claim statuses in the patient management system.
• Provide guidance and support to patients about payment options and financial assistance programs.
• Collaborate with the healthcare team to resolve issues related to billing and insurance claims.

Qualifications

• High school diploma or equivalent; Associate's or Bachelor's degree in healthcare administration or a related field is preferred.
• Minimum of 2 years of experience in medical billing, reimbursement, or healthcare finance.
• Strong knowledge of medical coding and billing procedures, including CPT, ICD-10, and HCPCS codes.
• Proficient in insurance claims processing and familiarity with various insurance payer guidelines.
• Excellent communication and interpersonal skills, with the ability to empathize with patients.
• Detail-oriented with strong organizational and problem-solving abilities.
• Proficient in using medical billing software and electronic health record (EHR) systems.

Technologies & Tools

The Reimbursement Specialist/Medical Biller will utilize various technologies and tools including electronic medical records (EMR) systems, medical billing software such as Kareo or AdvancedMD, and communication tools for coordinating with patients and insurance providers. Familiarity with Microsoft Office Suite, particularly Excel for data tracking and reporting, is also essential in this role.

Ideal Candidates

Ideal candidates for the Reimbursement Specialist/Medical Biller position are those who exhibit strong analytical skills and a methodical approach to problem-solving. Additionally, a commitment to excellent customer service is essential, as is the ability to manage time effectively in a fast-paced environment. Candidates should be adaptable and possess strong communication skills to relay complex billing information clearly and empathetically to patients.