Medical Billing Specialist

We are excited to announce that currently we are looking for a Medical Billing Specialist join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Medical Billing Specialist primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected.

Job Responsibilities:

• Primary responsibilities involve receiving medical claims from HCPs or patients, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
• Exceptional organizational skills are required
• May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center
• Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary

Requirements

Minimum Education & Experience:

• High School Diploma or equivalent
• Experience in claim processing required
• Medical Billing and Coding Certification required
• Ability to interpret Explanation of Benefits (EOB)
• HIPPA certified
• Customer Service Experience preferred
• Pharmacy Technician experience preferred