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- Medical Billing/Credentialing Specialist
Description
Responsibilities include, but are not limited to:
Verify patient insurance coverage, eligibility, and benefits prior to service.
Prepare and submit accurate medical claims to various insurance payers.
Follow up on unpaid or denied claims promptly to maximize reimbursement and resolve discrepancies.
Process insurance payments.
Manage patient accounts and patient statements.
Answer provider insurance and billing questions.
Review all patient and insurance AR reports.
Process insurance authorizations and appeals.
Communicate with patients about insurance issues and balances as needed.
Manage the billing process, ensure accurate and timely submission of claims, and oversee credentialing procedures to maintain compliance with industry standards.
Requirements
1-3 years of medical billing experience in a medical practice or billing company required.
Experience with practice management programs and payer websites required.
Strong communication skills for effective collaboration with providers, payers, and patients.