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eClinicalWorks BILLING AND INSURANCE CLAIMS FOLLOWUP SPECIALIST

National Medical Billing firm looking for full-time eClinicalWorks BILLING AND INSURANCE CLAIMS FOLLOWUP SPECIALIST. eClinicalWorks billing experience is REQUIRED. Must be familiar with the medical claims billing process, medical claims follow-up, insurance payor portals, and claim denial resolution. Other positions and opportunities may be available to highly qualified candidates with specialty-specific experience (Podiatry, Rheumatology/Immunotherapy, Hospice/Palliative Care, Hospitalist, etc.). Medical claims follow-up experience IS A MUST. Thank you.

Job Overview

eClinicalWorks EXPERIENCE IS REQUIRED. We are seeking a detail-oriented and organized Billing/Claims Specialist to join our team. The ideal candidate will possess a strong understanding of the Medical Claims process, medical coding, denial resolution, corrected claims, appeals and reconsiderations. This role requires excellent clerical skills and the ability to manage medical claims effectively. The Claims Specialist will be responsible for reviewing clearinghouse rejected claims, payer denied claims, requests for medical records, and general claims follow-up.

Responsibilities

  • eClinicalWorks EXPERIENCE IS REQUIRED
  • Review and approve charges
  • Review and work denied insurance claims in accordance with company policies and regulatory requirements.
  • Verify the accuracy of medical records and documentation related to claims.
  • Utilize knowledge of HCPCS codes to ensure proper coding of services rendered.
  • Communicate with healthcare providers, insurance companies, and patients to resolve claim issues.
  • Maintain organized files and records for all claims processed.
  • Stay updated on changes in Medicare regulations and workers compensation law to ensure compliance.

Qualifications

  • eClinicalWorks EXPERIENCE IS REQUIRED
  • Strong organizational skills with the ability to manage multiple tasks efficiently.
  • Knowledge of medical billing guidelines is preferred.
  • Familiarity with HCPCS coding, medical records management, and medical documentation processes.
  • Proficient in clerical tasks including filing, data entry, and maintaining accurate records.
  • Experience in medical billing is required.
  • Excellent communication skills, both written and verbal, to effectively interact with various stakeholders.

Thank you for your time and we encourage you to apply for the eClinicalWorks BILLING AND INSURANCE CLAIMS FOLLOWUP SPECIALIST position today!

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Application Question(s):

  • Do you have experience billing in eClinicalWorks?

Work Location: In person

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