Billing Specialist (Medicare HMO)

Location

Lafayette, LA | United States

Job description

Acadian Companies has an immediate opening for a Billing Specialist with the Medicare HMO team. The Billing Specialist is responsible for processing and resolving insurance claims, and Ensuring proper payment of claims, appealing of denials and resolution of claims.

Job Location: Lafayette, LA - This position is based in the office, but is eligible for periodic work from home. 

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.

Job tags

Salary