Description An Medical Infusion Company in Inglewood is currently seeking a highly skilled and dedicated Infusion Medical Collections Specialist with out-of-network insurance experience to join its growing team. This successful candidate will have a strong background in the medical billing and collections field, specifically in dealing with out-of-network insurance policies.Key Responsibilities:
Reviewing patient bills for accuracy and completeness and obtaining any missing information.
Checking the eligibility and benefits verification for treatments, hospitalizations, and procedures.
Managing the entire billing cycle including claim submission, payment posting, and follow-up.
Reviewing insurance remittance advice for payment accuracy.
Resolving patient discrepancies and insurance rejections.
Negotiating claim denials, partial payments, and payor discrepancies.
Working with out-of-network insurance policies and Maintain strict confidentiality in accordance with HIPAA regulations.
Conducting regular audits and providing feedback to reduce
Requirements
Minimum of 2 years of experience in medical billing and collections, specifically with out-of-network insurance.
Strong knowledge of medical terminology and the insurance claim process.
Familiarity with ICD-10 Coding and CPT.
Proficiency in Microsoft Office Suite and billing software.
Exceptional communication and customer service skills.
Ability to multi-task, prioritize, and manage time effectively.
Detail-oriented with strong organizational and analytical skills.
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