We are looking for a dedicated Medical Accounts Receivable Specialist to join our team in Richmond, Virginia. In this long-term contract role, you will play a key part in managing billing and payment processes to ensure the smooth operation of our medical accounts. If you have a keen eye for detail and a passion for accuracy in financial transactions, we encourage you to apply.<br><br>Responsibilities:<br>• Process and manage medical billing activities to ensure timely and accurate invoicing.<br>• Handle accounts receivable tasks, including tracking outstanding balances and following up on overdue payments.<br>• Post payments accurately into the system and reconcile any discrepancies.<br>• Conduct collection activities to recover unpaid balances while maintaining strong client relationships.<br>• Monitor cash application processes to ensure proper allocation of funds.<br>• Collaborate with internal teams to resolve billing and payment issues efficiently.<br>• Generate detailed financial reports related to accounts receivable and collections.<br>• Stay updated on billing procedures and compliance with industry standards.<br>• Maintain organized and accurate records of all transactions and communications.<br>• Provide exceptional customer service to clients regarding billing and payment inquiries.
<p>We are looking for a dedicated Medical Biller II to join our healthcare team in Los Angeles, California. The Medical Biller II will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. The ideal person for the Medical Biller II role must have expertise in medical billing, collections, and insurance processes.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.</p><p>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.</p><p>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.</p><p>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.</p><p>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.</p><p>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.</p><p>• Maintain consistent productivity and quality standards while meeting deadlines.</p><p>• Identify and address areas of improvement to streamline billing and collection processes.</p>
We are seeking a skilled Medical Biller/Collections Specialist to join our team in Dallas, Texas. In this Contract to permanent position, you will play a critical role in managing accounts receivable, ensuring accurate insurance filings, and maintaining compliance with healthcare regulations. This opportunity is ideal for professionals who excel in a fast-paced healthcare environment and possess strong organizational and communication skills.<br><br>Responsibilities:<br>• Analyze and manage daily work queues for accounts that are overdue by more than 31 days.<br>• Audit account details to confirm proper insurance filings and verify patient balances before initiating collection efforts.<br>• Monitor aging reports and determine the status of unpaid claims starting from the 45th workday after the date of service.<br>• Submit appeals using approved templates and forward medical or coding denials to the QA Department for review.<br>• Facilitate secondary insurance filings and ensure explanations of benefits are properly documented.<br>• Establish payment arrangements with patients, adhering to timelines and policies.<br>• Conduct skip tracing for accounts requiring additional investigation.<br>• Send collection letters or statements to patients in accordance with office policies.<br>• Maintain a secure and organized workspace in compliance with privacy laws, including HIPAA regulations.<br>• Collaborate with the Manager and Compliance Committee to uphold the organization’s Compliance Program.
An award-winning Hospital in Los Angeles is adding a Medical Biller to the Revenue Cycle Team. The Hospital Medical Biller must have 2 years of revenue cycle experience in a hospital setting including a strong understanding of EOBs. The Hospital Medical Biller must be able to review and interpret EOBs. <br>Duties include:<br>•Accurately processing of Inpatient and outpatient claims to third party payers, following all mandated billing guidelines.<br>•Ensuring and meeting Timely Filing guidelines.<br>•Performing all required duties within the patient accounting systems. <br>•Review and submit claims for services rendered.<br>•Interpreting payer contracts, processing contractual adjustments, knowledge of late charge process.<br>•Appeals and denials management. <br>•Primary, secondary, and tertiary billing/collections.<br><br>Benefits:<br>Medical, Dental and Vision Insurance. Sick Time Off, PTO, Tuition Reimbursement, and 401K retirement with a 15% match.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Elizabethtown, North Carolina. This is a long-term contract position offering an excellent opportunity to contribute to a healthcare environment dedicated to patient care and operational excellence. The ideal candidate will bring expertise in medical billing processes and a commitment to accuracy and efficiency.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims to insurance companies with accuracy and attention to detail.</p><p>• Review and resolve claim denials or discrepancies to ensure timely reimbursement.</p><p>• Maintain up-to-date knowledge of medical billing codes and insurance regulations.</p><p>• Collaborate with healthcare providers and administrative staff to address billing inquiries.</p><p>• Monitor and track payments, ensuring proper documentation and record-keeping.</p><p>• Generate and analyze billing reports to identify trends and improve processes.</p><p>• Assist patients with billing-related questions and provide clear and precise communication.</p><p>• Ensure compliance with all billing policies, procedures, and legal requirements.</p><p>• Support the implementation of new billing systems or updates as needed.</p>
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team in Baltimore, Maryland. This is a contract-to-permanent position within the medical devices industry, offering an opportunity to contribute to healthcare operations through accurate billing and coding practices. The ideal candidate will have hands-on experience in medical billing and a solid understanding of insurance processes, including Medicare, Medicaid, and third-party payers.</p><p><br></p><p>Responsibilities:</p><p>• Handle medical billing and coding tasks with precision and attention to detail.</p><p>• Reach out to insurance companies to resolve billing issues and ensure claims are processed effectively.</p><p>• Manage reimbursements and claims for Medicare, Medicaid, and third-party insurance providers.</p><p>• Collaborate with healthcare providers to verify patient insurance benefits and coverage.</p><p>• Maintain accurate records of billing and insurance communications.</p><p>• Ensure compliance with healthcare regulations and billing standards.</p><p>• Assist in identifying discrepancies in claims and resolving them promptly.</p><p>• Provide support in medical collections processes, ensuring timely payments.</p><p>• Communicate with patients regarding billing inquiries and insurance coverage.</p>
<p>We are looking for a skilled Medical Billing Specialist to join our client's team in Beaverton, Oregon. This part time, long-term contract position is ideal for a detail-oriented individual with expertise in medical billing and coding. The role involves interacting with claims, denials, and insurance billing processes while ensuring compliance with industry standards.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit accurate medical billing claims using Advanced MD software.</p><p>• Conduct thorough follow-ups on insurance claims and resolve any issues related to denials.</p><p>• Perform medical coding tasks, including assigning appropriate codes for new testing procedures.</p><p>• Manage collections and ensure timely payments from insurance providers such as Medicare, Medicaid, and Tricare.</p><p>• Research and analyze billing discrepancies to identify solutions and maintain financial accuracy.</p><p>• Utilize critical thinking skills to streamline operations and improve billing workflows.</p><p>• Collaborate with other departments to ensure proper documentation and coding compliance.</p><p>• Maintain up-to-date knowledge of billing regulations and industry standards.</p><p><br></p>
We are looking for a skilled Medical Billing Specialist to join our team in Dayton, Ohio. In this role, you will be responsible for ensuring accurate and efficient processing of claims related to pathology services. This position is a contract-to-permanent opportunity, providing a chance to grow within the healthcare field while contributing to billing accuracy and compliance.<br><br>Responsibilities:<br>• Process and submit claims for pathology services, adhering to federal, state, and insurance guidelines.<br>• Assign appropriate medical codes based on pathology reports and patient records to ensure accuracy.<br>• Review documentation for completeness and compliance prior to submitting claims.<br>• Investigate and resolve issues related to denied claims, underpayments, and appeals by collaborating with insurance providers.<br>• Partner with pathologists, laboratory staff, and coding teams to address complex cases and maintain compliant billing practices.<br>• Track claim statuses, reconcile payments, and follow up on unpaid accounts to ensure timely reimbursement.<br>• Maintain detailed records of billing transactions and compliance documentation.<br>• Stay informed about changes in billing regulations, coding standards, and payer requirements.<br>• Support audit processes and contribute to quality assurance initiatives for pathology billing.
We are looking for a skilled Medical Billing Specialist to join our team in Loveland, Colorado. In this long-term contract role, you will be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. This position is ideal for professionals with expertise in medical billing systems who thrive in a collaborative and fast-paced environment.<br><br>Responsibilities:<br>• Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines.<br>• Monitor and manage accounts receivable, resolving discrepancies and ensuring timely payments.<br>• Utilize medical billing software, including Allscripts and Cerner Technologies, to oversee daily operations.<br>• Handle appeals and follow up on denied claims to secure reimbursements.<br>• Perform medical coding and maintain detailed documentation in compliance with industry practices.<br>• Coordinate third-party billing processes and maintain effective communication with insurance carriers.<br>• Verify patient benefits and eligibility to support billing accuracy.<br>• Conduct numeric data entry and maintain meticulous records of transactions.<br>• Respond to billing inquiries from patients and healthcare providers, delivering excellent customer service.<br>• Collaborate with colleagues to optimize workflows and improve overall billing performance.
We are looking for a skilled Medical Billing Specialist to join our team in Phoenix, Arizona. This long-term contract position is ideal for professionals with a strong background in denial management and claims follow-up within the healthcare industry. You will play a key role in ensuring accurate billing processes and effective communication with insurance providers.<br><br>Responsibilities:<br>• Analyze denied insurance claims to identify underlying issues and determine appropriate follow-up actions.<br>• Communicate with insurance companies via phone and online portals to resolve claim disputes efficiently.<br>• Apply critical thinking skills to investigate claim discrepancies and ensure timely resolutions.<br>• Collaborate with team members to maintain accurate and up-to-date billing records.<br>• Utilize specialized systems and tools to process claims and manage accounts receivable.<br>• Provide support in training on organization-specific billing processes and software nuances.<br>• Ensure compliance with healthcare billing regulations and procedures.<br>• Monitor accounts for outstanding balances and take necessary steps for collection.<br>• Prepare detailed reports on billing activities and claim resolutions.<br>• Maintain professionalism and confidentiality in handling sensitive patient and insurance information.
<p>We are looking for a detail-oriented Medical Billing Specialist to join our team! In this position, you will play a pivotal role in ensuring the accuracy and efficiency of our billing processes. This role requires strong communication skills and the ability to handle complex insurance claims, appeals, and patient inquiries.</p><p><br></p><p>Responsibilities:</p><p>• Review denied medical claims and file appeals as needed.</p><p>• Address patient inquiries regarding claim issues and insurance coverage with professionalism and clarity.</p><p>• Billing and reimbursement for specific patient accounts</p><p>• Submitting bills to insurance organizations and patients.</p><p><br></p><p><br></p>
We are looking for an experienced Medical Billing Specialist to join our team on a long-term contract basis. This role is based in Phoenix, Arizona, and offers an exciting opportunity to contribute to a healthcare organization dedicated to excellence. The ideal candidate will be skilled in managing medical claims, resolving billing discrepancies, and ensuring compliance with industry standards.<br><br>Responsibilities:<br>• Investigate claim denials, identify underlying issues, and implement corrective measures to resolve them.<br>• Manage and update account information using specialized medical billing software.<br>• Ensure all billing activities adhere to healthcare regulations and industry standards.<br>• Analyze discrepancies in billing processes and develop effective solutions to address them.<br>• Collaborate with internal teams to clarify account details and submit accurate claims.<br>• Maintain comprehensive and precise records of billing activities and communications.<br>• Follow up on overdue accounts to maximize collections and reduce outstanding balances.<br>• Participate in training programs to stay updated on organizational systems and workflows.<br>• Monitor claims timelines and ensure timely processing and resolution.
<p>We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis. This role involves working with healthcare billing processes, reviewing insurance claims, and ensuring accurate coding practices. Based in York, Maine, this is a great opportunity for professionals seeking a challenging and rewarding position in the medical billing field.</p><p><br></p><p>Responsibilities:</p><p>• Manage the daily processing of medical claims, ensuring accuracy and compliance with billing regulations.</p><p>• Review hospital records and insurance documents to verify patient information and payment details.</p><p>• Utilize ICD-10 coding standards to correctly classify medical procedures and diagnoses.</p><p>• Handle approximately 30-40 accounts per day, maintaining efficiency and attention to detail.</p><p>• Collaborate with insurance providers to resolve claim discrepancies and secure timely reimbursements.</p><p>• Monitor account balances and follow up on collections as needed.</p><p>• Maintain proficiency in using medical billing software, including tools such as Cerner.</p><p>• Adapt to west coast hours to ensure alignment with team operations and client needs.</p><p>• Ensure compliance with healthcare regulations and company policies.</p><p>• Provide clear communication and updates on claim status to relevant stakeholders.</p>
We are looking for an experienced Medical Billing Specialist to join our team in Little Rock, Arkansas. In this Contract to permanent position, you will play a vital role in ensuring accurate and efficient billing processes for medical services. This role is ideal for someone who is detail-oriented and excels in verifying insurance eligibility and resolving billing inquiries.<br><br>Responsibilities:<br>• Process and submit claims to insurance providers accurately and in a timely manner.<br>• Verify patient insurance information, ensuring eligibility and coverage details are correct.<br>• Resolve billing discrepancies by communicating with insurance companies and patients effectively.<br>• Maintain detailed and organized records of billing activities and payments.<br>• Collaborate with healthcare providers to ensure accurate coding and documentation for claims.<br>• Address inquiries from patients regarding billing statements and insurance coverage.<br>• Monitor outstanding payments and follow up on overdue accounts.<br>• Ensure compliance with all regulations and guidelines related to medical billing.<br>• Provide regular updates and reports on billing status and account receivables.<br>• Identify opportunities for improving billing processes and implement solutions to enhance efficiency.
We are looking for a skilled Medical Billing Specialist to join our team in Kansas City, Missouri. In this long-term contract role, you will play a vital part in managing and processing medical claims, ensuring accurate billing, and supporting efficient revenue cycles. This is an excellent opportunity for professionals with expertise in medical billing, coding, and collections.<br><br>Responsibilities:<br>• Accurately process and submit medical claims to insurance providers and other payers.<br>• Review and verify patient billing information for accuracy and compliance with regulations.<br>• Resolve discrepancies and follow up on denied or unpaid claims to ensure timely collections.<br>• Collaborate with healthcare providers to obtain documentation needed for billing purposes.<br>• Maintain detailed records of billing activities and payment statuses.<br>• Ensure compliance with medical coding standards and billing guidelines.<br>• Address inquiries from patients and insurance companies regarding billing issues.<br>• Assist in identifying and implementing improvements to the billing process.<br>• Monitor accounts receivable and prepare reports on billing and collections.<br>• Provide support for audits and regulatory reviews related to billing procedures.
We are looking for a detail-oriented Billing Clerk to join our team in Taunton, Massachusetts. This long-term contract position requires someone with experience in medical billing, particularly in behavioral health and healthcare settings. The ideal candidate will possess strong organizational skills and the ability to work independently while handling claims and insurance-related tasks efficiently.<br><br>Responsibilities:<br>• Perform claims reconciliation for Mass Medicaid, including researching issues and addressing approvals or denials.<br>• Manage medical billing processes accurately and in compliance with healthcare standards.<br>• Ensure patient insurance and demographic records are updated and maintained correctly.<br>• Process charge entries for assigned programs promptly and with precision.<br>• Build and maintain effective communication with insurance representatives to resolve billing issues.<br>• Provide guidance to program directors and clinicians regarding billing procedures and requirements.<br>• Monitor high balance accounts and report problematic account activities to the Billing Manager.<br>• Review aging reports regularly to ensure claims are submitted within the payer’s timely filing limits.<br>• Conduct independent research to stay informed about payer specifications and healthcare billing requirements.<br>• Utilize clearing house platforms, such as Inovalon, to streamline billing processes.
<p>We are seeking a detail-oriented <strong>Insurance Biller</strong> to join our team and ensure accurate billing, timely claims submission, and effective follow-up with insurance providers.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare, review, and submit claims to insurance companies electronically and by paper.</li><li>Verify insurance eligibility, benefits, and coverage requirements.</li><li>Research and resolve claim denials, rejections, and payment discrepancies.</li><li>Post insurance payments and adjustments accurately.</li><li>Communicate with insurance companies, patients, and internal teams regarding billing issues.</li><li>Maintain accurate billing records, reports, and monthly account reconciliations.</li><li>Ensure compliance with payer guidelines, HIPAA regulations, and internal policies.</li><li>Follow up on unpaid claims to ensure timely reimbursement.</li></ul>
<p>A reputable healthcare organization in Vista is hiring a <strong>Billing Specialist</strong> to support accurate medical billing, insurance follow-up, and revenue cycle operations. This role is well-suited for someone who enjoys analytical work, problem-solving, and ensuring claims are billed correctly and reimbursed timely. You will play a critical role in the financial health of the organization by managing claims, resolving billing issues, and collaborating with internal clinical and administrative teams. The ideal candidate is detail-focused, patient, and knowledgeable about healthcare billing processes.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Prepare and submit insurance and patient claims accurately and timely</li><li>Review billing data for accuracy, coding alignment, and payer requirements</li><li>Follow up on unpaid or underpaid claims with insurance companies</li><li>Resolve billing discrepancies, denials, and rejections</li><li>Post payments, adjustments, and remittances</li><li>Maintain accurate patient billing records and documentation</li><li>Communicate with patients regarding billing questions and payment options</li><li>Support month-end billing reports and audits</li></ul>
<p>We are looking for a dedicated Hospital Medical Billing Associate to join our healthcare team in Los Angeles, California. The Hospital Medical Billing Associate will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. This is a Hybrid/Remote role someone with expertise in medical billing, collections, and insurance processes.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.</p><p>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.</p><p>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.</p><p>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.</p><p>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.</p><p>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.</p><p>• Maintain consistent productivity and quality standards while meeting deadlines.</p><p>• Identify and address areas of improvement to streamline billing and collection processes.</p>
We are looking for a detail-oriented Billing Clerk to join our team in Lynwood, California. In this contract position, you will play a crucial role in managing billing operations, ensuring accuracy in claims processing, and maintaining compliance with organizational standards. This is a fully onsite role, providing an excellent opportunity to contribute directly to the success of a non-profit organization.<br><br>Responsibilities:<br>• Process billing claims accurately and efficiently, adhering to organizational policies and procedures.<br>• Utilize CareLogic software to manage billing operations and ensure data integrity.<br>• Handle accounts payable and accounts receivable tasks, verifying and reconciling transactions.<br>• Maintain electronic health records (EHR) systems to support medical billing processes.<br>• Respond to inbound calls professionally to address billing inquiries and resolve issues.<br>• Collaborate with the financial team to ensure timely and accurate submission of claims.<br>• Troubleshoot discrepancies in billing and resolve them promptly.<br>• Assist with computerized billing tasks using various accounting software systems.<br>• Ensure compliance with relevant regulations and standards in all billing activities.<br>• Provide support in the use of Epic and other medical billing software tools.
<p>Robert Half is partnering with one of our clients that is looking for a medical biller to join their team! This is a great opportunity to join a growing local practice. Please apply if you have previous medical billing experience in Modernizing Medicine!</p><p><br></p><p>Responsibilities:</p><p>• Process and manage medical billing tasks, ensuring all claims are submitted accurately and in a timely manner.</p><p>• Monitor accounts receivable and follow up on outstanding payments to ensure prompt resolution.</p><p>• Utilize electronic medical records systems to maintain and update patient billing information.</p><p>• Communicate with insurance companies and patients to address billing inquiries and discrepancies.</p><p>• Reconcile account balances to ensure accuracy and identify any inconsistencies.</p><p>• Prepare and distribute invoices and statements for patient accounts.</p><p>• Collaborate with team members to streamline billing procedures and improve efficiency.</p><p>• Maintain compliance with relevant regulations and policies related to medical billing and accounts receivable.</p><p>• Generate regular reports detailing accounts receivable status and progress.</p><p>• Assist with audits and provide documentation as requested.</p>
We are looking for a skilled Medicare Biller to join our team on a contract basis in Boca Raton, Florida. In this role, you will ensure accurate billing processes and compliance with regulations in the healthcare industry. This position requires a strong background in coding and auditing, along with the ability to work collaboratively with providers and administrative staff.<br><br>Responsibilities:<br>• Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in billing practices.<br>• Collaborate with healthcare providers to clarify documentation and improve compliance with coding standards.<br>• Analyze payor policies and fee schedules to optimize reimbursements and address any trends or discrepancies.<br>• Provide training and guidance to staff and providers on coding regulations and best practices.<br>• Prepare detailed reports on audit findings and present recommendations for improvement to stakeholders.<br>• Monitor changes in payor policies and communicate updates to relevant teams.<br>• Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements.<br>• Serve as a resource for coding-related inquiries and act as a subject matter expert in medical billing.<br>• Review and adapt billing procedures to align with organizational policies and industry standards.<br>• Maintain confidentiality of sensitive financial and medical information.
<p>We are looking for an experienced Billing Supervisor/Manager to join our team in Sacramento, California. This contract to hire position involves overseeing billing and collections operations, ensuring efficiency and accuracy in processes, and managing staff performance. The ideal candidate will have a strong background in medical billing and collections, as well as leadership experience.</p><p><br></p><p>Responsibilities:</p><p>• Manage and oversee all billing and collections activities across departments to ensure timely and accurate processing.</p><p>• Provide support and solutions for billing-related challenges, including denial trends and short-pay issues.</p><p>• Maintain a thorough understanding of team member responsibilities and collaborate with other departments to address billing-related concerns.</p><p>• Coordinate backup support for billing and collections staff during absences or high workload periods.</p><p>• Ensure billing software is updated with current reimbursement rates, billing codes, and regulatory requirements.</p><p>• Facilitate onboarding for new staff by setting up access to insurance and billing systems.</p><p>• Conduct performance evaluations for billing and collections team members, offering constructive feedback and development plans.</p><p>• Monitor adherence to standard operating procedures and recommend updates for improved accuracy and efficiency.</p><p>• Review and approve staff timecards on a weekly basis.</p><p>• Prepare and deliver required management and external billing reports, including hospice aggregate caps and cost report data.</p>
We are looking for a dedicated Billing Clerk to join our healthcare team in Marshall, Michigan. In this role, you will play a key part in managing billing operations and ensuring accurate financial transactions within the organization. This position offers the opportunity to work in a fast-paced environment, contributing to the efficiency of healthcare services.<br><br>Responsibilities:<br>• Prepare and issue accurate billing statements to clients and patients.<br>• Manage the collection of payments and maintain organized financial records.<br>• Oversee computerized billing systems to ensure smooth operations.<br>• Work closely with healthcare staff to address billing inquiries and resolve discrepancies.<br>• Monitor accounts receivable and follow up on outstanding payments.<br>• Ensure compliance with healthcare billing regulations and standards.<br>• Generate periodic financial reports related to billing activities.<br>• Assist in the implementation and improvement of billing processes and procedures.<br>• Maintain confidentiality and security of patient financial information.<br>• Stay updated on changes in medical billing practices and health care policies.
We are looking for a detail-oriented Billing Coordinator to join our team on a Contract basis in Smyrna, Georgia. In this role, you will oversee and manage the billing process for pharmacy claims, ensuring timely reimbursements from insurance providers and patient payments. Your expertise will be key to maintaining compliance with industry standards while fostering efficient communication between payers, patients, and internal teams.<br><br>Responsibilities:<br>• Submit and monitor pharmacy claims to third-party payers, including commercial insurance, Medicare, and Medicaid, ensuring timely reimbursements.<br>• Track aging reports and follow up on unpaid or partially paid claims to facilitate full payment collection.<br>• Investigate and resolve claim rejections and denials by identifying errors, making corrections, and re-filing or appealing claims as necessary.<br>• Generate patient invoices, explain billing charges, and collect payments while delivering excellent customer service.<br>• Accurately post payments from insurance providers and patients to the appropriate accounts in the billing system.<br>• Reconcile accounts receivable regularly to maintain accurate financial records and address discrepancies promptly.<br>• Communicate with insurance providers to verify coverage details, clarify claim issues, and expedite resolutions.<br>• Maintain organized and detailed records of all billing activities to ensure compliance with pharmacy industry regulations.<br>• Provide clerical support, including sorting, filing, and maintaining departmental reports, to support seamless operations.<br>• Collaborate with management to suggest strategies for improving data accuracy and provide backup assistance to team members when needed.
