Abrar Admin

Dr.Mirza

Job Overview Busy medical practice is seeking an experienced Denial &amp; Collections Specialist to join our revenue cycle team. This position is responsible for reviewing, correcting, and resolving insurance claim denials for both clinic and hospital-based services, as well as following up on outstanding balances to ensure accurate and timely reimbursement.The ideal candidate is detail-oriented, knowledgeable in medical billing processes, and experienced in working with multiple insurance payers.Key Responsibilities<ul><li>Review and analyze insurance claim denials and rejections</li><li>Correct and resubmit denied or underpaid claims</li><li>Perform insurance follow-up on outstanding claims</li><li>Work denials for commercial insurance, Medicare, and Medicaid</li><li>Identify root causes of denials and recommend solutions to prevent future issues</li><li>Post adjustments and maintain accurate documentation in billing system</li><li>Communicate with insurance companies regarding claim status and appeals</li><li>Prepare and submit appeals with supporting documentation</li><li>Monitor aging reports and prioritize high-dollar claims</li><li>Collaborate with providers and billing team to resolve coding or documentation issues</li></ul>Qualifications<ul><li>Minimum 2 years experience in medical billing, denial management, or insurance collections</li><li>Experience with clinic and hospital claims preferred</li><li>Knowledge of CPT, ICD-10, and insurance billing guidelines</li><li>Familiar with Medicare, Medicaid, and commercial payers</li><li>Strong attention to detail and organizational skills</li><li>Ability to work independently and manage claim follow-up efficiently</li><li>Experience with electronic medical records and billing systems</li></ul>Preferred Skills<ul><li>Medical billing</li><li>Experience with appeals and payer dispute processes</li><li>Strong problem-solving and communication skills</li></ul>Benefits<ul><li>Competitive pay based on experience</li><li>Monday&ndash;Friday schedule</li><li>Supportive team environment</li><li>Opportunity for growth within the organization</li></ul>Pay: $15.00 - $17.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Denial & Collections Specialist – Medical Billing (Clinic & Hospital Claims)

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Dr.Mirza

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Denial & Collections Specialist – Medical Billing (Clinic & Hospital Claims)