Core Responsibilities:
- Claim Management: Reviewing patient data, assigning codes (ICD-10, CPT), generating, submitting, and tracking claims to insurance companies.
- Payment Processing: Posting payments from payers and patients, managing accounts receivable, and running collection reports.
- Denial & Appeal Management: Investigating claim denials, appealing rejected claims, and resolving billing issues.
- Patient Communication: Handling patient billing inquiries, explaining charges, and setting up payment plans.
- Record Keeping: Maintaining accurate patient billing records and updating financial data in systems.
Key Skills & Requirements:
- Technical Skills: Proficiency with medical billing software (e.g., Epic), EHR systems, and coding standards (ICD-10, CPT).
- Compliance: Strict adherence to HIPAA and other regulatory guidelines.
- Soft Skills: Strong attention to detail, organization, problem-solving, communication, and time management.
- Knowledge: Understanding of the revenue cycle, insurance verification, and payer requirements.
Equal Opportunity Employer
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