Billing Specialist (Medicare HMO)

The-Acadian-Companies; Lafayette (LA); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

401(k) and ESOP

Vacation and Sick time

Job summary

Acadian Client Services in Lafayette, LA is seeking a full-time Billing Specialist (Medicare HMO) to join our office team. This role focuses on processing and resolving insurance claims and ensuring proper payment.

You will handle claim status checks, communicate with insurers, review denials and appeals, monitor payment discrepancies, and verify patient information, all while upholding confidentiality and high service levels.

Qualifications

• High school diploma or equivalent is required.
• Previous medical billing experience preferred.
• Proficient in Google, MS Office Suite or related software.

Responsibilities

• Process and resolve insurance claims to ensure proper payment.
• Appeal denials and resolve claim issues in a timely manner.
• Perform claim status checks and contact providers as needed.
• Review claim rejections and assists with research and resolution.
• Monitor payment discrepancies and process payments.
• Verify patient insurance and accuracy of demographic information.

Skills

Medical billing

Communication skills

Attention to detail

Time management

Microsoft Office

Education

High school diploma or equivalent

Tools

Google Workspace

Microsoft Office

Job description

Acadian Client Services has an immediate opening for a full-time Billing Specialist (Medicare HMO) to join their team in Lafayette, LA.

Job Location: Lafayette, LA - This position is based in the office. The hours are Monday-Friday, 8am-5pm.

Summary of Duties: Responsible for processing and resolving insurance claims. Ensuring proper payment of claims, appealing of denials and resolution of claims.

Essential Functions:

• Responsible for claim status checks as needed to ensure proper resolution
• Initiating contact with insurance providers as needed
• Review and process claim rejections and appeals for research and resolution
• Monitor payment discrepancies and process payments
• Review claims for Federal compliance
• Process incoming correspondence and phone calls specific to the payer type
• Verification of patient insurance
• Ensure accuracy of demographic information
• Other duties and responsibilities as assigned

Qualifications:

• High school diploma or equivalent
• Previous medical billing experience preferred
• Proficient in Google, MS Office Suite or related software
• Ability to communicate clearly and concisely
• Ability to establish and maintain working relationships with coworkers and patients
• Punctual with strong attendance history
• Ability to adhere to productivity goals, departmental and company guidelines, dress code, policies and procedures
• Excellent interpersonal skills and time management
• Maintain highest level of confidentiality

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Position Type

Full-time

We offer comprehensive insurance benefits for full-time employees, including but not limited to Medical, Dental, Vision coverages, along with 401(k) and ESOP (Employee Stock Ownership Program), and Vacation and Sick time.

Acadian Companies

Divisions

Employee Stock Ownership

Employer Privacy Policy

Acadian Companies is an Equal Opportunity Employer / Employment is based solely upon one's individual merit and qualifications directly related to professional competence. We don't discriminate on the basis of race, color, religion, national origin, veterans, ancestry, pregnancy status, sex, age, marital status, disability, medical condition, sexual orientation, gender identity, or any other characteristics protected by law. We will make reasonable accommodations to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws.

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