Job Requirements

• 2 years Healthcare BPO healthcare experience
• 2 years customer service experience with a minimum of 2 years claims or bill review experience and provider/carrier outreach with Intermediate computer experience using Microsoft Word, Excel & Outlook required

Key Responsibilities

• Prepare and submit clean claims to insurance companies electronically or by paper
• Review patient bills for accuracy and completeness; obtain any missing information
• Verify insurance coverage and benefits prior to billing
• Resolve claim denials and rejections by researching issues and correcting errors
• Follow up with insurance companies and patients to ensure prompt payment
• Post payments and adjustments to patient accounts
• Generate patient invoices and statements
• Maintain strict confidentiality of patient information (HIPAA compliance)
• Communicate with healthcare providers, insurance companies, and patients
• Maintain organized billing records and documentation
• Stay updated on payer policies, coding changes, and industry regulations