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Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc.Medical Billing and Accounts Receivable Specialist responsible for processing patient billing and managing insurance claims. Collaborating with healthcare providers to resolve discrepancies and ensure timely reimbursements.
About the role
Key responsibilities & impact- Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement.
- Duties include reviewing medical records, coding procedures, and collaborating with healthcare providers and insurance companies to resolve discrepancies.
- Strong attention to detail, knowledge of medical terminology, and proficiency in billing software are essential for success in this role.
- Verify insurance benefits and confirm patient eligibility.
- Obtain prior authorization for services as required.
- Review clinician entered charges entered for accuracy before generating claims.
- Prepare and submit claim files.
- Post insurance and clients payments accurately and in a timely manner.
- Analyze and address ERA/EOB denials by taking appropriate corrective action.
- Manage accounts receivable and actively pursue outstanding balances.
- Oversee client collections to ensure timely payment.
- Handle insurance appeals for denied or underpaid claims.
- Stay informed and compliant with payor reimbursement policies, procedures, and guidelines.
- Monitor and apply contracted fee schedules to ensure accurate expected payment.
- Foster positive communication and relationships with patients, clinicians, physicians, third-party payors, and other Boundless staff to ensure exceptional customer service.
- Adheres to company policies and procedures in addition to regulations, laws and other requirements from applicable governing bodies, certification, licensure and/or accreditation entities, etc.
- Other duties as assigned.
Requirements
What you’ll need- High school diploma required; college coursework a plus.
- Preferred 1-3 years’ experience in medical billing and collections, as well as insurance verification.
- Proficient in Microsoft 365
- Medical Coding Certification (Preferred)
- Driver’s license and insurable driving record, if applicable.
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billinginsurance claims managementmedical codingaccounts receivable managementinsurance verificationclaims processingdiscrepancy resolutionprior authorizationpayment postingdenial analysis
Soft Skills
attention to detailcommunicationcustomer servicecollaborationproblem-solvingorganizational skillsrelationship managementtimelinessadaptabilitycompliance
Certifications
Medical Coding Certification