Document Review Specialist

Nanyuki Sports Club; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Nanyuki Sports Club is seeking a detail-oriented Billing Specialist to manage medical billing tasks, ensuring accurate claims and compliance with policy guidelines. The ideal candidate will have a Bachelor's degree or relevant experience in medical billing, coupled with excellent communication and organizational skills. This position requires strong attention to detail and collaboration with clients and staff to resolve billing issues efficiently.

Qualifications

• Preferred 1-3 years of medical billing experience.
• Knowledge of regulatory standards and compliance requirements.
• Minimal customer service experience.

Responsibilities

• Review and interpret insurance policy guidelines.
• Work within client billing database to ensure clean claims billing.
• Communicate with clients to resolve billing issues.

Skills

Attention to detail

Communication skills

Organizational skills

Education

Bachelor's degree

Associate's degree in medical billing

Job description

Main Job Tasks and Responsibilities

• Prioritize orders to review based on set guidelines from supervisor
• Review reporting to ensure oldest orders are being prioritized
• Review and interpret insurance policy guidelines as they relate to the orders to review for the clients
• Work within client billing database to ensure clean claims billing
• Attach correct span dates, modifiers, etc., to invoice
• Review medical records to ensure payer guidelines are met
• Provide feedback to customer via billing database
• Communicate with client and leadership to arrive at acceptable changes that can be made to orders to bill
• Work with Billing and Accounts Receivable staff on resolving billing issues before submitting claims
• Track time spent on each client daily
• Other duties as assigned

Education and Experience

• Preferred Bachelor's degree
• Preferred 1-3 years of medical billing experience or associate's degree in medical billing
• Knowledge of regulatory standards and compliance requirements
• Minimal customer service experience

Key Competencies

• Extreme attention to detail
• Excellent verbal and written communication skills
• Reading comprehension and critical thinking skills
• Organizational skills
• Self-motivated, independent worker, but with abilities to work well in a team

• Sense of urgency

***Candidate must have proper working Home Network to be eligible

Pay: Ksh355.1/hour