Job Description
Job Description
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:
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Reviews and works on unpaid claims, identifying and rectifying billing issues.
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Communicates with insurance companies regarding any discrepancy in payments if necessary.
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Conducts research and appeals denied claims timely.
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Reviews Explanation of Benefits (EOBs) to determine denials or partial payment reasons.
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Provides detailed notes on actions taken and next steps for unpaid claims.
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Collaborates with the billing team to ensure accurate claim submission.
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Maintains a comprehensive understanding of the insurance follow-up process, payer guidelines, and compliance requirements.
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Resubmits claims with necessary corrections or supporting documentation when needed.
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Tracks and documents trends related to denials and work towards a resolution with the billing team.
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Assists patients with inquiries related to their insurance claims, providing clear and accurate information.
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All other duties as assigned.
Required Skills/Abilities:
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Proficiency in healthcare billing software.
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Strong analytical, organizational, and multitasking skills.
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Excellent verbal and written communication abilities.
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Ability to navigate payer websites and use online resources to resolve outstanding claims