Fresher Jobs
Job Summary:
Fresher Jobs is seeking a dedicated and detail-oriented Medical Billing Team Member to join our dynamic team. In this role, you will be responsible for the accurate entry, scrubbing, and management of medical claims, focusing on denials and rejections. The ideal candidate will have a strong understanding of medical billing practices, along with a keen eye for identifying discrepancies in claims and working proactively to resolve them.
This position provides an excellent opportunity to grow your career in the healthcare industry and gain valuable experience in medical billing and claims management. If you are passionate about accuracy, compliance, and customer service, we encourage you to apply.
Key Responsibilities:
- Data Entry: Accurately input medical billing information into the system, ensuring all details are correct and up-to-date.
- Claim Scrubbing: Review and scrub claims to ensure they meet the necessary standards for submission to insurance companies and government payers.
- Denial Management: Analyze and manage claims that have been denied or rejected, identifying the root cause and collaborating with other departments to resolve issues efficiently.
- Rejection Handling: Work with payers to address rejections, including resubmitting claims or providing additional documentation when necessary.
- Follow-up: Proactively follow up with insurance companies, healthcare providers, and patients to ensure claims are processed in a timely manner.
- Compliance: Ensure that all medical billing practices adhere to industry standards and regulatory requirements.
- Reporting: Maintain accurate records of billing issues, claims status, and resolutions for internal reporting purposes.
Required Skills and Qualifications:
- High school diploma or equivalent (Associates degree in Health Information Technology, Medical Billing, or related field preferred).
- Strong knowledge of medical terminology, coding, and billing processes (CPT, ICD-10, HCPCS).
- Proficiency in using medical billing software and other relevant tools (experience with Electronic Health Record (EHR) systems is a plus).
- Familiarity with insurance policies, including private insurance, Medicaid, and Medicare.
- Excellent attention to detail and problem-solving skills.
- Strong communication skills to interact effectively with healthcare providers, insurance companies, and internal teams.
- Ability to work independently and manage multiple tasks with efficiency.
- Strong organizational skills with the ability to prioritize workload effectively.
Experience:
- Prior experience in medical billing or a similar healthcare administrative role is highly preferred.
- Experience with claim scrubbing, handling denials and rejections is a significant advantage.
- Experience with medical billing systems and knowledge of electronic claim submission processes.
Working Hours:
- Full-time position, Monday to Friday.
- Flexible working hours (Remote option available depending on the candidates location and performance).
- Occasional overtime may be required to meet deadlines or resolve complex billing issues.
Knowledge, Skills, and Abilities:
- Attention to Detail: Ability to accurately review and process large volumes of data with precision.
- Problem-Solving: Skilled at identifying problems, finding solutions, and making adjustments to improve the billing process.
- Time Management: Capable of managing a heavy workload and meeting deadlines without compromising quality.
- Communication: Strong verbal and written communication skills to effectively address denials and resolve issues with clients and insurance companies.
- Technical Skills: Proficient with Microsoft Office Suite (Excel, Word) and medical billing software tools.
Benefits:
- Competitive salary with performance-based bonuses.
- Health insurance (medical, dental, and vision).
- Paid time off (PTO) and paid holidays.
- Professional development opportunities and training programs.
- Flexible work schedule with remote work options.
- Employee wellness programs.
- Retirement savings plan (401k) with company contribution.
- Employee discounts on medical services.
Why Join Fresher Jobs?
- Growth Opportunities: At Fresher Jobs, we believe in nurturing talent. We offer continuous learning and career advancement opportunities for those who demonstrate initiative and a commitment to excellence.
- Supportive Work Environment: Our team is collaborative, supportive, and dedicated to fostering a positive work culture.
- Work-Life Balance: We value the well-being of our employees and offer flexible working hours to ensure a healthy work-life balance.
- Innovative Team: Work with a forward-thinking company that leverages the latest technology and best practices in the healthcare industry.
- Competitive Compensation: We offer a competitive salary and benefits package that reflects your skills, experience, and contribution to the organization.
How to Apply:
Interested candidates are invited to submit their updated resume along with a cover letter outlining their relevant experience and qualifications. Please include Medical Billing Team Member – Data Entry/Scrubbing in the subject line of your email.
Applications can be sent to us or submitted through our online portal. We look forward to reviewing your application and exploring the possibility of you joining our team!