All potential candidates must have strong communication, organizational and analytical skills. Working knowledge and experience in analyzing medical claims. Strong knowledge of EMR software, medical billing applications, CPT codes, ICD-10, and insurance web portals and OON experience.
Manage claim submission process end-to-end through submission, response, and final payment
Understand and communicate insurance billing & patient responsibility (in/out of network, deductibles, copays, co-insurance, out of pocket max) internally and to clients
Prepare and submit claim appeals with insurance companies
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax, or websites
Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results
8-hour day shift
Monday to Friday
Remote
401 (k)
Health insurance
Dental insurance
Vision insurance
Paid time off
Flexible schedule
At Adelfi Medical Billing Solutions, we provide exceptional medical billing and revenue cycle management services to healthcare providers of all specialties. Our team of experienced professionals has the knowledge and expertise necessary to navigate the complexities of the healthcare billing industry, and we are committed to delivering accurate and timely payment for the services our clients provide. We believe in taking a proactive approach to medical billing, leveraging advanced technology and tools to optimize billing processes, reduce errors and denials. and identify opportunities for cost savings. At Adelfi Medical Billing Solutions, we understand that medical billing is not just about processing claims and collecting payments; it's about providing a high level of service that supports the goals and objectives of our clients.
