Abrar Admin

Little Works in Progress Pediatric Thera

Medical Billing &amp; Claims Resolution SpecialistWe are seeking an experienced Medical Billing &amp; Claims Resolution Specialist to join our team. This position is ideal for someone with extensive knowledge of medical billing processes and a proven ability to successfully resolve complex insurance claims, denials, and secondary insurance issues.Position SummaryThe Medical Billing &amp; Claims Resolution Specialist will be responsible for managing difficult and aged accounts receivable, researching and appealing denied claims, coordinating secondary insurance billing, and ensuring maximum reimbursement accuracy and efficiency. The ideal candidate is detail-oriented, persistent, organized, and highly knowledgeable in insurance guidelines and payer requirements.Key Responsibilities<ul><li>Investigate and resolve denied, rejected, and underpaid insurance claims</li><li>Work complex accounts receivable including aged claims and secondary insurance claims</li><li>Submit corrected claims and appeals with appropriate documentation</li><li>Communicate with insurance carriers to resolve claim discrepancies and payment delays</li><li>Verify patient insurance coverage and coordination of benefits</li><li>Review EOBs/ERAs and identify reimbursement issues</li><li>Maintain accurate billing records and detailed account notes</li><li>Follow up on outstanding claims in a timely manner</li><li>Collaborate with internal staff to correct billing and coding issues</li><li>Ensure compliance with HIPAA and all billing regulations</li></ul>Qualifications<ul><li>Minimum of 3&ndash;5 years of medical billing and claims resolution experience</li><li>Strong experience handling claim denials, appeals, and secondary insurance billing</li><li>Knowledge of commercial insurance, Medicare, and Medicaid processes</li><li>Familiarity with CPT, ICD-10, and HCPCS coding</li><li>Excellent problem-solving and communication skills</li><li>Strong attention to detail and organizational abilities</li><li>Ability to work independently and manage high-volume follow-up</li><li>Experience with EMR/EHR and medical billing software preferred</li></ul>Preferred Qualifications<ul><li>Certification in medical billing or coding (CPB, CPC, CMRS, or similar) preferred</li><li>Experience in specialty billing is a plus</li><li>Prior experience reducing aging accounts receivable and increasing collections</li></ul>Pay: $22.00 - $30.00 per hourBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Flexible schedule</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul>Work Location: In person

Medical Billing and Claims Resolutions Specialist

Join Little Works in Progress Pediatric Thera and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Little Works in Progress Pediatric Thera

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Medical Billing and Claims Resolutions Specialist