Medical Claim Follow-up Specialist - Palmdale, United States - Codemax Medical Billing

Codemax Medical Billing

Verified Company

Palmdale, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Title:
Medical Claim Follow-Up Specialist (Collections)

Reports to:
Claim Follow-Up Supervisor

Employment Status:
Full-Time

FLSA Status:
Non-Exempt

Job Summary:_
Duties/Responsibilities:_
Reviews and works on unpaid claims, identifying and rectifying billing issues.
Communicates with insurance companies regarding any discrepancy in payments if necessary.
Conducts research and appeals denied claims timely.
Reviews Explanation of Benefits (EOBs) to determine denials or partial payment reasons.
Provides detailed notes on actions taken and next steps for unpaid claims.
Collaborates with the billing team to ensure accurate claim submission.
Maintains a comprehensive understanding of the insurance followup process, payer guidelines, and compliance requirements.
Resubmits claims with necessary corrections or supporting documentation when needed.
Tracks and documents trends related to denials and work towards a resolution with the billing team.
Assists patients with inquiries related to their insurance claims, providing clear and accurate information.
All other duties as assigned.
Required Skills/Abilities:_
Proficiency in healthcare billing software.
Strong analytical, organizational, and multitasking skills.
Excellent verbal and written communication abilities.
Ability to navigate payer websites and use online resources to resolve outstanding claims.