Medical Billing Specialist

Description
Review and interpret Explanation of Benefits (EOBs) to determine:

-Services billed

-Insurance coverage and adjustments

-Payment amounts

-Patient responsibility




Manage and work denial and collections queues within EPIC

Investigate and resolve denied or underpaid claims promptly

Follow up with insurance companies to resolve discrepancies and secure payment

Ensure timely resubmission of claims and appeals to avoid timely filing issues

Maintain accurate documentation of collection activity within the system

Support overall Accounts Receivable (AR) performance and aging goals




Qualifications


1+ years of medical collections or AR experience

Strong understanding of EOBs and insurance claim processing

Experience working in EPIC (highly preferred)

Ability to navigate denials and payer communications effect...