Medical Billing Specialists are responsible for the accurate, timely review and follow up of all outstanding or denied insurance claims for a portfolio of clients.
Essential Job Functions:
- Follow and ensure company productivity and quality measures
- Process denied claims for multiple insurance companies
- Work fluently on numerous databases, practice management software, portals, websites, and access publicly available guidelines and information as needed
- Analyze and stay up-to-date with Government and Commercial Insurance rules, regulations, guidelines, and processes
- Provide excellent customer service to new and existing medical practices
- Communicate with insurance companies, patients and supervisors regarding the accounts and unpaid claims
-Multi-task through several different healthcare databases with ease
- Communicate effectively within a team setting and share knowledge within and across teams
- Analyze explanation of benefits, and work all denied claims related to that account
- Track and log productivity on a daily, weekly, monthly basis
- Troubleshoot claims that are outstanding or have not been paid for more than 60 days
- Determine the source of the denied claim and correct accordingly