Medical Claims Specialist — Billing & Denial Resolution

Belcan Services Group Ltd Partnership; Mason (OH); On-site; USD 30,000 - 33,000; Full time

Benefits offered by this job

Health insurance

Dental and Vision

401(k)

Job summary

Belcan seeks a Medical Biller in Mason, OH to monitor and adjudicate insurance carrier claims within the practice EHR and clearinghouse environment. You will review open balances, post payments, and resubmit denied claims to optimize the collection process.

The role requires 3+ years in medical billing/coding, strong organization, and effective communication across multiple carriers. Benefits include health/dental/vision, 401(k), and PTO options.

Qualifications

• High school diploma
• 3+ years of related work experience
• Experience with medical billing and coding
• Ability to prioritize handling of issues
• Organization skills and ability to multitask
• Effective communication skills (verbal, written, listening, presentation)

Responsibilities

• Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
• Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
• Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
• Determine if denied claims can be corrected and re-submitted to the carrier.
• Review aging reports to research open balances and resubmit within insurance carrier filing limits.
• Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
• Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
• Initiate overpayment refunds to patients and repayments to insurance carriers when required.
• Serve as the point of contact for the practice regarding all vision and medical claims.
• Support the corporate manager in maximizing claim collection rate.

Skills

Medical billing

Coding

EHR systems

Communication

Multitasking

Education

High school diploma

Tools

EHR system

Clearinghouse

Insurance portals

Job description

Belcan seeks a Medical Biller in Mason, OH to monitor and adjudicate insurance carrier claims within the practice EHR and clearinghouse environment. You will review open balances, post payments, and resubmit denied claims to optimize the collection process.

The role requires 3+ years in medical billing/coding, strong organization, and effective communication across multiple carriers. Benefits include health/dental/vision, 401(k), and PTO options.