Medical Billing Specialist
This job has been filled or expired, so you can no longer apply for it.
You can browse our current jobs in this category here or view the old job below.
Accentuate Staffing is currently seeking a highly organized and skilled Medical Billing Specialist for a healthcare client in Morrisville, NC. The Health Claims Analyst plays a critical role in ensuring the timely and accurate processing of health claims and maintaining strong communication with provider agencies. This position is responsible for reviewing, monitoring, and adjudicating claims, as well as addressing and resolving claims difficulties while providing excellent customer service.
Responsibilities:
- Review, monitor, and adjudicate claims.
- Review patient and provider account updates and re-adjudicate claims as appropriate.
- Communicate with provider agencies on claims submission, denial management, and system updates.
- Handle claims difficulties and provide excellent customer service to provider agencies.
- Ensure timely and accurate processing of claims and update providers on status as appropriate.
- Monitor and report on trends in claim adjudication and system issues.
- Follow up on outstanding claims and ensure they are processed in a timely manner.
Requirements:
- High School diploma or equivalent and a minimum of two (2) years of related experience OR Bachelor’s degree in a related field and a minimum of one (1) year of related experience.
- Experience with various software, including UltraEdit and NCTracks, is preferred.
- Knowledge of Medicaid and/or the healthcare industry is preferred.
- Strong communication and customer service skills to effectively interact with provider agencies and address their needs.
- Excellent problem-solving skills to resolve claims-related issues efficiently.
- Strong computer skills, including proficiency with Microsoft Office applications.
