Experienced Medical Claim Processor

Medical Billing Specialist

We are seeking a skilled and detail-oriented Medical Billing Specialist to join our billing team and contribute to efficient revenue cycle management.

This role involves supervising a team of billing specialists, coordinating with various departments, and optimizing billing procedures to enhance overall revenue cycle efficiency.

• Oversee the accurate and timely processing of claims, ensuring compliance with payer guidelines and regulations.
• Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
• Develop and implement billing policies and procedures to improve accuracy and efficiency.
• Collaborate with coding, compliance, and other departments to ensure accurate coding and documentation.
• Analyse billing data and metrics to identify trends, issues, and opportunities for process improvements.
• Ensure proper follow-up on unpaid or denied claims and manage the appeals process.
• Oversee the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.
• Stay informed about changes in U.S. revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.
• Provide guidance and training to the billing team on evolving industry standards and policy updates.