Medical Insurance Accounts Receivable Specialist

A company is looking for a Medical Insurance Accounts Receivable Representative II. Key Responsibilities Verify or obtain patient eligibility and authorization for healthcare services Conduct research and status unpaid or denied claims while monitoring claims for missing information Contact payers to secure payment of claims and prepare claims for clinical audit processing as needed Required Qualifications 2+ years of medical collections/billing experience Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI Intermediate knowledge of third-party billing guidelines and claim forms (UB04/1500) Working knowledge of Microsoft Word and Excel Intermediate working knowledge of health information systems (e.g., EMR, Claim Scrubbers)

Mar 26, 2025 - 00:27

A company is looking for a Medical Insurance Accounts Receivable Representative II. Key Responsibilities Verify or obtain patient eligibility and authorization for healthcare services Conduct research and status unpaid or denied claims while monitoring claims for missing information Contact payers to secure payment of claims and prepare claims for clinical audit processing as needed Required Qualifications 2+ years of medical collections/billing experience Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI Intermediate knowledge of third-party billing guidelines and claim forms (UB04/1500) Working knowledge of Microsoft Word and Excel Intermediate working knowledge of health information systems (e.g., EMR, Claim Scrubbers)