Raven Ridge

Job Description:We are seeking a detail-oriented and experienced Medical Biller and Claims Specialist with expertise in handling appeals to join our dynamic healthcare team. The ideal candidate will have a thorough understanding of the medical billing process, claims management, and the appeals process to ensure the efficient handling of claims and maximization of revenue.Key Responsibilities:Claims Management:Process and submit insurance claims accurately and in a timely manner.Monitor and follow up on outstanding claims to ensure prompt resolution.Analyze and resolve billing issues and discrepancies with insurance companies and patients.Ensure claims are compliant with insurance regulations and guidelines.Medical Billing:Prepare, review, and transmit patient bills and insurance claims.Verify patient insurance coverage and eligibility.Collaborate with healthcare providers and administrative staff to gather necessary information for billing.Appeals and Denials:Investigate and...

We are seeking a skilled and detail-oriented Medical Biller to join our team. The Medical Biller will be responsible for accurately and efficiently billing patients and insurance companies for medical services provided by our healthcare facility. The ideal candidate will have strong organizational skills, a keen eye for detail, and a thorough understanding of medical billing procedures and regulations.Key Responsibilities:Review and verify patient information, procedures, and diagnosis codes for accuracy and completeness.Prepare and submit claims to insurance companies, including electronic and paper claims submissions.Follow up on unpaid claims and resubmit claims as necessary to ensure timely reimbursement.Process payments received from insurance companies and patients, including posting payments to patient accounts and reconciling discrepancies.Communicate with insurance companies, patients, and healthcare providers to resolve billing issues and inquiries.Review denied claims...