Medical Billing Specialist
Job Description
Job Description
We are looking for a meticulous Medical Billing Specialist to join our team in Dayton, Ohio. This position involves managing the billing cycle, ensuring accurate claim submissions, and maintaining compliance with healthcare regulations. As a Contract-to-long-term opportunity within the non-profit sector, this role offers the chance to contribute to meaningful work while enhancing your expertise.
Responsibilities:• Prepare and submit medical claims to insurance providers using accurate coding practices.
• Verify and update patient insurance information within internal systems.
• Resolve billing discrepancies by effectively communicating with patients, providers, and insurance companies.
• Review insurance claim denials and initiate corrections or appeals to ensure payment.
• Coordinate with third-party payers for authorizations and eligibility verification.
• Accurately post payments to patient accounts, including deductibles and copay amounts.
• Generate and send patient statements for outstanding balances.
• Address patient inquiries regarding billing concerns with professionalism and clarity.
• Ensure compliance with federal, state, and insurance-specific regulations.
• Create detailed reports on billing activities and accounts receivable trends for management review.• Proficiency in medical billing and coding practices.
• Experience handling medical collections and claims processes.
• Familiarity with electronic billing systems and tools such as Epaces.
• Strong analytical skills to identify and resolve billing issues.
• Excellent communication abilities for interacting with patients, providers, and insurance companies.
• Knowledge of healthcare compliance regulations and industry standards.
• Attention to detail and organizational skills for managing multiple accounts.
• Ability to adapt to changes in insurance protocols and billing procedures.
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