Medical Billing Specialist Remote A Medical Billing Specialist is responsible for accurately processing healthcare claims, verifying patient and insurance information, resolving billing issues, and following up on outstanding payments. The role supports timely reimbursement while maintaining compliance with healthcare billing regulations and payer requirements. Key Responsibilities - Prepare, submit, and monitor medical claims to insurance companies. - Verify patient demographics, insurance eligibility, and benefits. - Review claims for accuracy, coding, and billing errors. - Investigate and resolve denied, rejected, or underpaid claims. - Post insurance and patient payments accurately. - Follow up on outstanding accounts and unpaid claims. - Communicate with insurance companies, healthcare providers, and patients regarding billing issues. - Maintain accurate billing records and documentation. - Research payer policies, reimbursement requirements, and claim-status information. - Protect patient information and comply with HIPAA and applicable billing regulations. - Meet productivity, accuracy, and claim-resolution deadlines while working remotely. Qualifications - High school diploma or equivalent; medical billing or healthcare training preferred. - 1 3+ years of medical billing, claims, or healthcare revenue-cycle experience. - Knowledge of ICD-10, CPT, HCPCS , insurance claims, and reimbursement processes. - Experience with electronic health records (EHR) and billing systems. - Strong attention to detail, organization, and problem-solving skills. - Excellent written and verbal communication. - Ability to work independently and manage multiple billing accounts in a remote environment .
Not specified in the original listing.
Not specified in the original listing.
Molina Healthcare is dedicated to providing necessary healthcare services and improving the health outcomes of the communities it serves. They focus on community outreach and engagement, emphasizing the importance of building strong relationships wit... Read More