Responsible for managing medical insurance claims, billing processes, and data entry to ensure accurate reimbursement, compliance with healthcare regulations, and resolution of claim discrepancies.
- Process, review, and submit insurance claims to third-party payers.
- Investigate denied claims and identify causes such as coding errors, missing documentation, or eligibility issues.
- Work with coding and clinical teams to resolve issues and resubmit claims for payment.
- Appeal denied claims and monitor payment outcomes.
- Review remittance advice (EOBs) to confirm payments and resolve discrepancies.
- Verify patient insurance eligibility and benefits prior to service delivery.
- Confirm required pre-authorizations or referrals are obtained.
- Track and report KPIs related to claims processing, denials, and aged accounts.
- Generate reports on claims trends, payer performance, and payment delays.
- Post insurance and patient payments accurately and reconcile transactions.
- Stay current on healthcare regulations, payer policies, billing codes, and HIPAA requirements.
- Assist patients and stakeholders with insurance-related inquiries.
Requirements & Qualifications
- High school diploma or equivalent required.
- Associate’s degree in Healthcare Administration, Business, or a related field preferred.
- 2+ years of experience with medical billing required.
- Experience in healthcare billing or revenue cycle management.
- Strong analytical and problem-solving skills.
- Knowledge of insurance terminology, healthcare regulations, and payer guidelines.
- Familiarity with billing software and EHR systems.
- Excellent written and verbal communication skills.
- Strong attention to detail and ability to prioritize in a fast-paced environment.
- Proficiency with Microsoft Office Suite.
Benefits & Perks
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Tuition reimbursement
- Vision insurance
Location
Alabama, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago