Medical Billing Specialist

This is a fully remote position, open to applicants in Washington.

📋 Description

• Communicate with insurance companies to confirm claim status and initiate reprocessing as necessary

• Manage and monitor insurance appeals and corrected claims submissions

• Examine and evaluate aging reports to address unresolved claims

• Investigate instances of insurance denials and determine suitable corrective measures

• Recognize denial trends and report findings to enhance billing practices

• Prepare, review, and submit claims to both primary and secondary payers

• Ensure proper posting of payments and accurate allocation of balances

• Uphold strict adherence to HIPAA regulations when handling patient financial data

⛳️ Requirements

• High School Diploma or GED

• At least 1 year of experience in the healthcare field

• Minimum of 1 year of experience in processing health insurance claims

• Familiarity with CMS-1500 claim forms, coordination of benefits (COB), PHI, and medical terminology

• Proficient in using insurance payer websites to verify eligibility and check claim status

• Excellent organizational and time-management abilities

• Detail-oriented with a strong focus on accuracy

• Effective communication skills for collaboration with insurance companies and internal teams

🏝️ Benefits

• Medical, dental, and vision coverage

• Retirement benefits

• Paid time off

• Competitive compensation

• Tuition Assistance