Ar Specialist Medical Billing

Description:

• Process and submit medical claims to insurance companies.

• Verify patient insurance coverage and eligibility for services.

• Review and interpret Explanation of Benefits (EOB) statements and insurance payments.

• Follow up on unpaid or denied claims, resubmit claims when necessary, and appeal denied claims.

• Coordinate with healthcare providers and office staff to resolve billing issues and discrepancies.

• Maintain up-to-date knowledge of insurance regulations, billing codes, and healthcare procedures.

• Prepare and submit accurate and timely billing reports to management.

• Ensure compliance with HIPAA regulations and maintain patient confidentiality.

• Provide excellent communication skills when dealing with insurance companies, addressing inquiries and concerns professionally and efficiently.

• Collaborate with other departments to resolve billing-related issues and enhance overall efficiency.

Requirements:

• Minimum graduation.

• Proven experience as a Medical Billing Specialist or in a similar role in the healthcare industry for minimum 2yrs.

• In-depth knowledge of medical billing procedures, insurance regulations, and coding systems.

• Proficiency in using medical billing software and electronic health records (EHR) systems.

• Strong attention to detail and accuracy in data entry and billing processes.

• Excellent communication and interpersonal skills, both written and verbal.

• Ability to work independently, manage multiple tasks, and prioritize responsibilities.

• Familiarity with credentialing processes and healthcare compliance regulations.

• Understanding of revenue cycle management and the healthcare reimbursement process.

• High ethical standards and ability to maintain patient confidentiality.