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Medical Claims Billing Specialist - Lima, OH

Quick Facts
Company Name:HealthPro Medical Billing
Location:Lima, OH
Employment Type:Full Time
Category:Billing Operations
Pay:Based on Experience and Qualifications - Hourly
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About HealthPro Medical Billing, Inc.

HealthPro Medical Billing is the trusted business partner of choice for radiology and pathology practices, as well as imaging centers and other healthcare service providers throughout the United States. Now in business for over 30 years, our success is fully dependent on the service and results we provide our clients and the integrity we demonstrate along the way. Because building and maintaining client trust is essential to our business, we seek out talented medical billing professionals who share our commitment to quality.

We are looking for dynamic individuals to be a part of our team. We offer a flexible work schedule, competitive compensation and benefits, and a work-life balanced environment.

Employment Opportunity

HealthPro Medical Billing in Lima, OH is seeking a Medical Billing Claims Specialist to be a part of our team.

Summary of Responsibilities:

Responsibilities include working delinquent claims (AR - collection write offs), denials, and ignored claims. The primary goal of each function is to effectively resolve outstanding balances in a timely manner.

Accounts Receivable/Collection Write-Offs

  • Work Accounts Receivable/Collection Write Offs as assigned.
  • Remove uncollectable accounts per company guidelines.
  • Sign off on AR log each month.
  • Assist with the preparation of statistical reports including month end write off reports.

Denials/Ignored Claims

  • Utilize generator to work denied or ignored claims.
  • Resolve denied or ignored claims per company guidelines.
  • Sign off on the denied and ignored claims completion log each month.
  • Assist with the preparation of statistical reports.
  • Maintain working knowledge of websites to resolve claim issues.
  • Correct non-coding related denials and responds to the appropriate payer according to their guidelines for resolving the denial and/or appeal.
  • Evaluate and process each denial efficiently using written appeals, online claim corrections, websites, and phone calls to insurance companies, facilities or provider representatives as appropriate.
  • Communicate with payers, clients, and hospitals as needed to resolve issues.
  • Maintain compliance with applicable payer guidelines and governmental regulations.
  • Identify and escalate trends, problems and concerns that contribute to a negative client reimbursement situation.

Education and Experience:

High school diploma or GED is required. Associate's degree or Bachelor's degree in Business Management, Healthcare Management or related area of study is preferred. Three to five years of industry related work experience and/or a customer service experience required. Equivalent combinations of work experience and education will be considered.