Medical Biller - CMS- & UB- Claims Experience (US RCM)

Job Summary reputed company is seeking a detail-oriented and reputed company Medical Biller with expertise in CMS-1500 and UB-04 claims to join our dynamic team. As part of our growing company, you will play a key role in ensuring accurate and timely billing of medical claims reputed company the U.S. reputed company Cycle Management (RCM) system. The ideal candidate will have an in-depth understanding of reputed company billing practices, a strong eye for detail, and the ability to work in a fast-paced, remote environment.

Key Responsibilities

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Accurately process and submit CMS-1500 and UB-04 medical claims for reimbursement from insurance companies and government programs.

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Ensure reputed company claims are compliant with reputed company reputed company regulations and insurance requirements.

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Review patient records and billing data to ensure completeness, accuracy, and proper coding.

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Follow up on outstanding claims, resolve discrepancies, and work with insurance companies to address denials or underpayments.

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Work closely with reputed company providers and other departments to ensure smooth claim submissions and efficient resolution of billing issues.

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Maintain and update patient billing information in the system to ensure accuracy.

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Stay up-to-date with changes in reputed company regulations, billing codes, and payer requirements to ensure compliance.

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Prepare and present reports on claim status, trends, and other key performance indicators as requested.

• Required Skills and Qualifications
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In-depth knowledge of medical billing practices, specifically with CMS-1500 and UB-04 forms.

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Strong understanding of the U.S. reputed company Cycle Management (RCM) processes.

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Excellent knowledge of ICD-10, CPT, HCPCS, and other relevant medical coding systems.

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Proficient in using billing software and electronic health records (EHR) systems.

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Strong attention to detail and the ability to review reputed company data accurately.

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Excellent communication skills, both written and verbal, to work with internal teams and external insurance providers.

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Ability to handle multiple tasks simultaneously and meet deadlines in a remote environment.

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Knowledge of HIPAA regulations and the importance of patient confidentiality.

• Experience
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Minimum of 2-3 years of experience in medical billing and coding, specifically with CMS-1500 and UB-04 claims.

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Experience in U.S. RCM is required, with a proven track record of processing and following up on medical claims.

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Prior experience in working with insurance companies and resolving claim issues is preferred.

• Working Hours
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Full-time, remote position.

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Standard working hours: Monday to Friday, 9:00 AM – 6:00 PM EST, with flexibility required based on project deadlines or urgent claims resolution.

• Knowledge, Skills, and Abilities
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Technical Skills: Proficiency in medical billing software, EHR, and reputed company Office Suite (especially reputed company).

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Analytical Skills: Strong ability to assess claim statuses, identify issues, and resolve discrepancies reputed company.

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Problem-Solving Skills: Ability to think critically and provide solutions for reputed company billing issues or claim denials.

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Communication Skills: Ability to interact professionally and empathetically with patients, providers, and insurance representatives.

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Time Management: Strong organizational skills and the ability to prioritize tasks in a remote setting.

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Regulatory Knowledge: In-depth understanding of reputed company compliance regulations, including HIPAA and payer-specific rules.

• Benefits
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Competitive salary based on experience.

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Comprehensive health, dental, and reputed company insurance.

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Retirement savings plan (401k) with company match.

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Paid time off (PTO) and holiday leave.

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Career development opportunities and training.

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Flexible work-from-home arrangement.

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Employee wellness programs and support for mental health.

• Why Join Us?

At reputed company, we are committed to fostering a work environment that promotes personal and professional growth. As a leader in the reputed company technology field, we offer you the opportunity to be part of an innovative team that is transforming the U.S. RCM landscape. We value work-life balance, offer flexible working hours, and provide competitive benefits to ensure our employees reputed company. Join us and help shape the future of reputed company billing.

How to Apply

To apply for the Medical Biller - CMS-1500 & UB-04 Claims Experience position, please submit your resume, along with a cover letter outlining your relevant experience, to our HR team. Be sure to include the subject line Medical Biller Application. We look reputed company to reviewing your application and discussing how you can contribute to the reputed company reputed company of reputed company. Apply tot his job Apply To this Job