Job Description

JOP OPENING: Billing Specialist (TX Medicaid)

JOB SUMMARY: Responsible for processing and resolving insurance claims. Ensuring proper payment of claims, appealing of denials and resolution of claims. 

This is NOT a Work From Home position.  

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Responsible for claim status checks as needed to ensure proper resolution
• Initiating contact with insurance providers as needed
• Review and process claim rejections and appeals for research and resolution
• Monitor payment discrepancies and process payments
• Review claims for Federal compliance
• Process incoming correspondence and phone calls specific to the payer type
• Verification of patient insurance
• Ensure accuracy of demographic information
• Other duties and responsibilities as assigned

QUALIFICATIONS:

• High school diploma or equivalent
• Previous medical billing experience preferred
• Proficient in Google, MS Office Suite or related software 
• Ability to communicate clearly and concisely
• Ability to establish and maintain working relationships with coworkers and patients 
• Punctual with strong attendance history
• Ability to adhere to productivity goals, departmental and company guidelines, dress code, policies and procedures
• Excellent interpersonal skills and time management
• Maintain highest level of confidentiality
  

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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