Medical Billing & Claims Specialist

Description

A Medical Billing & Claims Specialist is responsible for working and managing

Accounts Receivable for our Clinic and Surgery Center and providing excellent customer service

to our patients

Maintain comprehensive understanding of insurance company rules, regulations, and

payer contract requirements.

Monitor insurance accounts receivable

Follow up on unpaid claims.

Process credit balances within a timely manner.

Research account denials and file written appeals when necessary.

Check each insurance payment for accuracy and compliance with contract discount

Respond to inquiries from both insurance companies and patients.

Collaboratively cover phone line for insurance/billing related questions.

Process and keep track of incoming payments and accounts in compliance with financial

procedures and policies

Cross-train on functions within Patient Accounts to help provide coverage as needed.

Participate in developing or enhancing department policies and procedures.

Assist with ad-hoc projects when assigned.

Skills

Medical Claims, healthcare industry, Microsoft word, medical billing, insurance verification, customer service, medical insurance reimbursement

Additional Skills & Qualifications:

Ability to work in a fast faced environment

Maintain comprehensive understanding of insurance company rules, regulations, and

payer contract requirements.

Monitor insurance accounts receivable

Follow up on unpaid claims.

Process credit balances within a timely manner.

Research account denials and file written appeals when necessary.

Check each insurance payment for accuracy and compliance with contract discount

Respond to inquiries from both insurance companies and patients.

Collaboratively cover phone line for insurance/billing related questions.

Process and keep track of incoming payments and accounts in compliance with financial

procedures and policies

Cross-train on functions within Patient Accounts to help provide coverage as needed.

Participate in developing or enhancing department policies and procedures.

Assist with ad-hoc projects when assigned.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.