Claim Processing Officer-Medical Biller

Responsibilities: Claim Processing : Accurately review and process medical claims according to established guidelines and procedures. Coding Verification : Ensure correct coding of diagnoses and procedures for claims submission. Claim Submission : Submit claims electronically or by paper to various health insurance companies within specified timelines. Follow-up on Claims : Monitor the status of submitted claims and follow up with insurance companies to resolve any issues or discrepancies. Payment Posting : Record and reconcile payments received from insurance companies with the billed amounts. Denial Management : Investigate and resolve claim denials by providing additional information or appealing the decision when necessary. Documentation : Maintain accurate and detailed records of all claim processing activities. Compliance : Adhere to healthcare regulations, insurance guidelines, and billing best practices to ensure compliance. Communication : Collaborate with ...