Benefits Billing Specialist – Medical Claims & Denials

Direct Staffing Inc; Frisco (TX); On-site; USD 40,000 - 60,000; Full time

Job summary

A staffing company is seeking to hire a candidate for a position focused on verifying medical and pharmacy benefits. Responsibilities include communicating effectively with patients, pharmacies, and healthcare professionals, as well as resolving claim denials, processing claims, and handling collections. Ideal candidates should have general knowledge of medical coding, accounting principles, and effective communication skills. This role is based in Frisco, Texas.

Qualifications

• General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding preferred.
• Ability to communicate effectively both orally and in writing.
• Strong negotiating and interpersonal skills.
• General knowledge of accounting principles and pharmacy operations.

Responsibilities

• Verifying major Medical & Pharmacy benefits.
• Communicating with Patients, Pharmacy, Doctors, and Representatives.
• Researching and resolving electronic claim denials.
• Processing claims and posting payments.
• Collections of overdue accounts.

Skills

General knowledge of HCPCS, CPT, ICD-9 and ICD-10 coding

Effective communication skills

Strong negotiating skills

Strong interpersonal skills

General knowledge of accounting principles

Attention to detail

Job description

A staffing company is seeking to hire a candidate for a position focused on verifying medical and pharmacy benefits. Responsibilities include communicating effectively with patients, pharmacies, and healthcare professionals, as well as resolving claim denials, processing claims, and handling collections. Ideal candidates should have general knowledge of medical coding, accounting principles, and effective communication skills. This role is based in Frisco, Texas.