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Billing Specialist (Medicare HMO)

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Billing Specialist (Medicare HMO)

Lafayette, Louisiana, 70501

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Full Time
Onsite
supports..pdf, .doc, .docx, or .txt file

Job Summary

The Billing Specialist plays a crucial role in managing and resolving insurance claims efficiently. This includes addressing claim rejections, handling appeals, and reconciling payment discrepancies. The specialist is also tasked with conducting insurance verifications while ensuring adherence to federal compliance regulations.

Responsibilities

  • Process and resolve insurance claims, including rejection handling and appeals.
  • Address payment discrepancies and perform reconciliations.
  • Conduct insurance verification to ensure accurate processing.
  • Ensure that all claims comply with federal standards and regulations.

Qualifications

  • High school diploma or equivalent required.
  • Strong proficiency in Google and Microsoft Office applications.
  • Previous experience in medical billing is preferred.
  • Excellent communication skills and time management abilities.
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