Description

We are offering a role in the healthcare industry, specifically in medical billing, claims, and collections, based in Allentown, Pennsylvania. The role involves the management and processing of customer credit applications and records, as well as the resolution of related inquiries.

Responsibilities:

• Accumulate and input defined ancillary charges for clients such as laboratory, pharmacy, etc.

• Prepare and submit claims through various channels including clearinghouses and direct data entry

• Monitor claims payment amounts to ensure accuracy

• Handle claim rejections at the clearinghouse and payer level, submitting adjustments as needed

• Compose and submit appeals to insurance companies where necessary

• Accept and log cash receipts in accordance with cash posting processes

• Monitor accounts receivables aging list and follow up with payers as per the Collections Policy

• Refer claim follow-ups to collection agency when appropriate

• Document all claims research and activity in the claims billing software

• Verify insurance benefits in relation to claims processing

• Respond timely to regulatory requests, ensuring compliance with payer timeframes and regulations

• Address inquiries relating to the specific area of work

• Complete annual compliance and HIPAA training and exhibit behavior as set out in the guidelines

For immediate consideration please apply directly to job posting or call 610-882-1600

Requirements • Proficient in Medicare policies and procedures

• Extensive experience in Medical Billing

• Knowledge of Claims Processing in the healthcare industry

• Excellent analytical and problem-solving abilities

• Proficient with healthcare billing software

• Strong understanding of medical terminologies

• Excellent communication and interpersonal skills

• Ability to work effectively both independently and as part of a team

• Detail-oriented and able to maintain high levels of accuracy

• Strong organizational skills and the ability to prioritize tasks

• Knowledge of data privacy practices and laws in the healthcare industry

• Ability to handle confidential and sensitive information with discretion

• Proven experience in handling high volume of medical billing and claims

• Proficient in using Microsoft Office Suite (Word, Excel, Outlook)

• Familiarity with the NHS system and its operations.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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