Medical Biller- Remote

GetixHealth; Grandville (MI); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a detail-oriented Claims Specialist to join their team. In this role, you will ensure accurate claims submissions, verify completeness, and follow up on insurance denials. Your expertise in reading and interpreting insurance explanations will be crucial in addressing inquiries from patients and providers. This position offers a supportive work environment where you can thrive while contributing to the healthcare sector. If you are passionate about making a difference and possess strong organizational skills, this opportunity is perfect for you.

Qualifications

• High school diploma or college degree from an accredited institution required.
• Experience in claims submission and insurance verification is essential.

Responsibilities

• Ensure all claims are submitted with zero errors.
• Follow up on insurance denials and exceptions promptly.
• Respond to inquiries from insurance companies and patients.

Skills

Claims Submission

Insurance Verification

Communication Skills

Problem Solving

Education

High School Diploma

College Degree

Job description

• Ensure all claims are submitted with a goal of zero errors.
• Verifies completeness and accuracy of all claims prior to submissions.
• Timely follow up on insurance denials, exceptions or exclusions.
• Reading and interpreting insurance explanation of benefits.
• Respond to inquiries from insurance companies, patients and providers.
• Secures needed medical documentation required or requested by third party insurances.
• Utilize monthly aging accounts receivable reports to follow up on unpaid claims.
• Other duties as assigned.

Education and Experience

• High school diploma or college degree from an accredited college or university.

Work Environment / Physical Requirements

• Work environment is an office location. The position requires the dexterity to operate office equipment such as a personal computer, keyboard, mouse and telephone.
• Occasional lifting may be required up to 25 lbs.
• Must be able to sit for extended periods of time with frequent bending and stooping.

Additional Notes

• This role profile is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position.

Pay Rate: $20

Work Shift: Monday-Friday 7:00am-3:00pm PST

GetixHealth is an equal employment opportunity employer.