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Medical Billing Specialist

Remote Jobs, Oklahoma City, Oklahoma, United States, 73116

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Employer Industry: Healthcare Services

Why consider this job opportunity

Opportunity for career advancement and growth within the organization

Supportive and collaborative work environment

Chance to make a positive impact on the revenue cycle and claims processing

Engage in special projects to enhance operational efficiency

Work in a role that emphasizes customer service and teamwork

What to Expect (Job Responsibilities)

Prepare, review, and transmit hospital claims using billing software, including electronic and paper claim processing

Identify and bill secondary or tertiary insurances, and work on rejected claims for timely re-submission

Research and resolve claim re-submission appeals and inquiries for Medicaid

Document account activities accurately and in a timely manner in accordance with quality standards

Ensure compliance with all state and federal billing regulations and report suspected compliance issues

What is Required (Qualifications)

High school diploma or equivalent

Minimum of two years of hospital billing experience

Ability to follow applicable Medicare and Medicaid regulations, including HIPAA

Strong knowledge of insurance billing regulations and guidelines

Excellent communication skills and a positive customer service attitude

How to Stand Out (Preferred Qualifications)

Certification as a Certified Revenue Cycle Specialist (CRCS) from AAHAM or Certified Revenue Cycle Representative (CRCR) from HFMA

Experience in improving processes for the revenue cycle team

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