Job Overview :
The Medical Billing Specialist will oversee the processing of medical claims, ensuring compliance with payer guidelines and regulations. They will review billing discrepancies, address rejections and denials, and implement corrective actions as needed.
This role involves supervising a team of specialists, coordinating with departments, and optimizing billing procedures to enhance revenue cycle efficiency.
The ideal candidate will have a strong understanding of U.S. revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges. They will stay informed about changes in federal regulations to ensure billing processes remain compliant and optimized.
For this role, we require a Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field. The ideal candidate should have experience with billing systems, payer guidelines, and regulatory compliance.
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