- Accurately and timely submit medical claims to insurance companies and other payers.
- Verify patient insurance coverage and obtain necessary authorizations for medical procedures.
- Review and analyze medical records to ensure appropriate coding of diagnoses and procedures.
- Resolve billing issues with insurance companies and other payers.
- Follow up on unpaid claims and resubmit claims as necessary.
- Work closely with other departments, such as medical coding and billing, to ensure accurate and timely billing processes.
- Maintain accurate and up-to-date patient and billing records in accordance with regulatory requirements.
- Provide excellent customer service to patients and other stakeholders.
- Keep abreast of changes in medical billing regulations and ensure compliance with these changes.
Bachelor degree in pharmaceutical science, associate's degree in medical billing or a related field is preferredKnowledge of medical terminology and proceduresUnderstanding of insurance and reimbursement proceduresCertification in medical billing and coding is a plusMinimum of 2-3 years of experience in US medical billing and coding Strong attention to detail and accuracyExcellent communication and problem-solving skillsAbility to manage multiple tasks and prioritize effectivelyExperience working with all commercial and government payor portalsKnowledge of the denials, and correctionsThis role requires strong organizational skills and the ability to handle sensitive information with confidentialityAbility to work independently and as part of a team