UniVida Medical Centers is seeking a Medical Claims/Payment Posting Specialist who will performs complex clerical and accounting functions, including verification of explanation of benefits response, maintenance of billing records, and resolution of problems. Also, responsible for gathering and processing the information required to complete the medical insurance claims process. In addition, will be responsible for investigating pending claims and resolving discrepancies.
Perform posting charges
Perform completion of claims to payers
Conduct duties in a professional and timely fashion
Submit billing data to the appropriate insurance providers
Resolve denial instances
Achieve maximum reimbursement for services provided
Deploy, maintain and report on various programs
Searching each financial statement for any payment inconsistencies or errors
Collaborating with patients or providers, third party institutions and other team members to resolve billing inconsistencies and errors
Inputting payment history, upcoming payment information or other financial data into an individual account
Informing patients or providers of any missed or upcoming payment deadlines
Calculating and tracking various medical centers’ financial statements
Translating medical code if working in a medical setting
Other duties may be assigned by the supervisor.
Highly organized, proactive, attentive to details and goal oriented
Ability to work with large data sets with guidance from medically trained individuals
Ability to identify problems, think logically or creatively, and devise practical solutions
Ability to prioritize and carry out work assignments independently and efficiently
Ability to work independently and be self-directed and flexible
Ability to prioritize
Ability to perform functions with minimal supervision
Ability to work at a high-volume level of accuracy
Ability to be discreet and maintain the security of patient or customer information
Strong attention to detail with excellent organizational skills
Ability to adapt easily to changing conditions and work responsibilities
Ability to complete assigned tasks under stressful situations
Advance understanding of medical terminology and diagnoses knowledge
Establishes and maintains effective working environment
Excellent communication skills, both verbal and written.
Excellent people skills while following medical centers policies and procedures.
Excellent problem-solving and critical thinking skills
Proficient computer skills
Strong level of confidentiality due to the sensitivity of materials and information handled.
In-depth knowledge of industry best practices
Basic math and accounting skills
Understanding of industry-specific policies, such as HIPAA regulations for health care
Associate degree or higher preferred
Minimum of 3 years of experience in medical billing or coding filed
UniVida Medical Centers arose out of the need to improve the quality of medical care in our community. Our company is based on delivering optimal and personalized patient care. Excellence of care is achieved through the collaboration of the highest qualified physicians in the community, delivery of world-class services, leading-edge technology, education, and focus on preventative care
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