Medical Billing & Collections Specialist
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Job Description
Medical Billing & Collections Specialist ensuring the accuracy and completeness of claim submissions. Part of a team delivering compassionate healthcare at Logan Health.
Responsibilities:
- Process claims to appropriate primary, secondary, and/or tertiary insurance company according to insurance guidelines.
- Perform follow-up on unpaid insurance accounts identified through aging reports.
- Process appeals when appropriate.
- Process refund requests.
- Identify trends, and carrier issues relating to billing and reimbursements, report findings to leadership.
- Maintain Privacy & Confidentiality of patient information and organizational operations.
- Responsible for learning, understanding and following payer guidelines.
- Reallocate misapplied payments and adjustments.
- Work special assignments when needed.
Requirements:
- 1+ year(s) of experience in a business, medical, or clinical environment
- Proficiency in Electronic Medical Record (EMR) billing systems
- Strong knowledge of medical terminology and health insurance guidelines
- Fluent in English, both spoken and written.
- 2+ years of experience in a business, medical, or clinical environment (preferred)
- Experience with specific EMR systems, including Meditech and Cerner (preferred)
- Proficiency in Microsoft Office Suite, particularly intermediate skills in Excel (e.g., data entry, formulas, basic functions) (preferred)
- Ability to work effectively in a fast-paced, dynamic environment
- Consistent and reliable attendance as scheduled by leadership.
Benefits:
- Opportunities for growth
- Comprehensive benefits
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