Responsibilities:
Review and process insurance claims accurately
Verify insurance coverage and patient eligibility
Ensure compliance with coding standards and hospital policies
Follow up on unpaid or rejected claims
Resolve insurance-related issues and discrepancies
Maintain detailed documentation of claims and correspondence
Stay updated with insurance policies and coding guidelines
Requirements:
Medical coding certification (CPC, CCS, or equivalent) preferred
Prior experience in insurance billing and claims in a healthcare setting
Knowledge of medical coding standards (ICD, CPT, HCPCS)
Strong attention to detail and analytical skills
Excellent communication skills
Ability to work independently and manage multiple tasks