Medical Billing Specialist

Description:

We are seeking a highly detail-oriented and English-proficient 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐒𝐮𝐩𝐩𝐨𝐫𝐭 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐬𝐭 to join our team. This role supports healthcare facilities by performing critical tasks in Verification of Benefits (VOB), Claims Follow-Up(AR Specialist).

𝐊𝐞𝐲 𝐑𝐞𝐬𝐩𝐨𝐧𝐬𝐢𝐛𝐢𝐥𝐢𝐭𝐢𝐞𝐬:

𝟏. 𝐕𝐞𝐫𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐁𝐞𝐧𝐞𝐟𝐢𝐭𝐬 (𝐕𝐎𝐁)

● Conduct electronic eligibility checks upon receiving new lead information.

● Perform live phone calls with insurance companies to verify detailed patient benefits.

● Complete standardized VOB forms with accurate and comprehensive benefit information.

● Communicate verification updates and preliminary eligibility results to requestors via email.

● Track the status of VOB requests and follow up as needed.

𝟐. 𝐂𝐥𝐚𝐢𝐦𝐬 𝐅𝐨𝐥𝐥𝐨𝐰-𝐔𝐩

● Contact insurance companies to determine the status of submitted claims.

● Investigate claim denials and delays, verify authorizations, and work with payers to resolve issues.

● Identify opportunities for claim appeals or resubmissions.

● Collaborate with internal billing teams to ensure proper documentation is available for follow-up.

● Maintain clear and up-to-date records of all claim-related communication and actions.

𝐐𝐮𝐚𝐥𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬:

● Strong verbal and written English communication skills.

● Prior experience in healthcare billing, insurance verification, or claims processing is highly preferred.

● High attention to detail and excellent organizational skills.

● Ability to manage high call volumes, long hold times, and time-sensitive tasks.

● Proficiency with billing software, spreadsheets, and data entry tools.