Job Description
Description We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for processing insurance claims, verifying patient information, following up on unpaid claims, and ensuring accurate billing and reimbursement. Responsibilities Submit and manage medical claims Verify insurance eligibility and benefits Resolve claim denials and billing discrepancie
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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