Qureos

Find The RightJob.

The secretary will work closely with the company to rectify payment denials, settle disputes, and receive due reimbursements. The ideal candidate will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims.

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 follow-up 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

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