Top 11 Claims specialist Jobs in Opelika, Al

Medical Billing Specialist
Lee Obstetrics & Gynecology —Auburn, AL
- HIPAA
- Mid-level
- High school diploma or GED
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2d
Medical Insurance Verification Specialist
Gastrointestinal Diseases Inc —Columbus, GA
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
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Quality Assurance Specialist
Hyundai Mobis —West Point, GA
- Full-time
- Computer literacy
- Bachelor of Science
- Mid-level
- Paid holidays
- Disability insurance
Installer Service Specialist
O'Reilly Automotive Stores —Opelika, AL
- Full-time
- ASE Certification
- Mid-level
- Team management
- Employee stock purchase plan
- Health insurance
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Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
EDW Medicaid Subject Matter Expert/Data Specialist
Vytwo —United States
- Full-time
- Remote
- Writing skills
- DevOps
- SQL
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Medical Billing Specialist
Lee Obstetrics & Gynecology —Auburn, AL
Familiarity with insurance and billing practices specific to the state of Alabama. Post payments, reconcile Explanations of Benefits (EOBs), and manage and…
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2d
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Medical Billing Specialist

Lee Obstetrics & Gynecology -
Auburn, AL

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Job Details

2 days ago

Qualifications

Medical billing compliance checks
Financial issue resolution
High school diploma or GED
Electronic health record (EHR) management for billing and coding
Invoice dispute resolution

Full Job Description

Lee Obstetrics and Gynecology is committed to our mission of providing quality, attentive, responsive care for the women of Lee County and the surrounding area. To put the patient's health and well-being first and promote women's health in all that we do.

Our medical billing specialist submits insurance claims, follows up on payments, manages rejected claims and patient accounts, and maintains patient records to ensure timely and accurate reimbursement for healthcare services. Key responsibilities include accurately coding procedures and diagnoses, communicating with insurance companies and patients, and ensuring compliance with healthcare regulations. The role requires strong knowledge of medical coding systems, billing software, and healthcare regulations, as well as strong communication and analytical skills.

This position is on site in Auburn, AL. Hours are Monday - Thursday 7:45am - 5:00pm, Friday 7:45am - 12:00pm

Key Responsibilities

Prepare, submit, and track claims and invoices to patients and various insurance companies (e.g., Medicare, Medicaid, commercial insurers).
Post payments, reconcile Explanations of Benefits (EOBs), and manage and follow up on outstanding account balances, including creating payment plans for patients.
Investigate and resolve denied claims by contacting insurance companies and submitting appeals for denied payments.
Address patient billing inquiries, explain account balances, and provide information on payment options.
Maintain accurate patient health information and billing records in both electronic and hard-copy formats.
Familiarity with insurance and billing practices specific to the state of Alabama
Adhere to HIPAA regulations and stay updated on healthcare regulations, medical terminology, and coding practices.
Act as a liaison between patients, doctors, and insurance companies, resolving discrepancies and facilitating communication.

Essential Skills & Qualifications

Proficiency with medical billing software, electronic health records (EHR) systems, and knowledge of common coding systems like CPT and ICD-10.
Ability to analyze billing issues, resolve discrepancies, and identify solutions for complex claims.
Strong verbal and written communication skills to interact effectively with patients, insurance representatives, and healthcare providers.
The ability to ensure accuracy in medical coding and billing data to prevent errors and ensure proper reimbursement.
A high school diploma is required. An associate's degree and professional certifications such as CPB from AAPC or CBCS from NHA is preferred.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.”

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Refine Your Search

claims specialist jobs in opelika, al

Medical Billing Specialist

Medical Insurance Verification Specialist

Quality Assurance Specialist

Installer Service Specialist

Casualty Specialist II

EDW Medicaid Subject Matter Expert/Data Specialist

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