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MLee Healthcare Staffing and Recruiting, Inc

Administrative Billing Specialist I

houston, MO

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Job description

Administrative Billing Specialist IJoin a dedicated healthcare team in the heart of the Midwest region, where your role as a Billing Specialist I is vital to ensuring smooth financial operations. This position involves managing insurance claims, posting payments, and addressing patient billing inquiries with professionalism and care.Full TimeAs a Billing Specialist I, you will be responsible for entering and verifying insurance claim information, submitting claims electronically or via paper forms, and responding to patient questions regarding their financial responsibilities. You will work closely with the Billing Supervisor to resolve claim denials and follow up on unpaid claims.Accurately enter patient and insurance information for claims processing.Submit insurance claims through clearinghouses or directly to insurance companies using UB04 and CMS-1500 forms.Address patient inquiries about copays, deductibles, write-offs, and billing concerns.Follow up on unpaid or rejected claims, resolve issues, and resubmit as necessary.Prepare appeal letters for denied claims, gathering all required documentation.Adhere strictly to HIPAA guidelines when handling patient information.Perform soft collections by contacting patients regarding past due accounts via phone or mail.Verify patient benefits eligibility and understand managed care authorizations and coverage limits.Submit secondary claims after primary insurer processing.High School Diploma or GED is required.Previous medical billing experience is highly preferred, along with familiarity with billing software and electronic data submission.Strong communication skills to convey detailed information clearly.Ability to maintain concentration during repetitive tasks.Physical ability to stand, walk, sit, reach, and occasionally lift up to 10 pounds.Comfort working in a standard office environment with occasional exposure to noise and other conditions.

Worksite address

houston, MO, 65483, US

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