Job Description
Job Description
We are seeking an experienced and detail-oriented individual to manage medical billing, claims, and collections tasks for a healthcare facility in Wakefield, Massachusetts. This role requires expertise in medical denials, appeals, and hospital billing processes to ensure efficient revenue cycle management. This is a long-term contract position offering stability and an opportunity to contribute to a fast-paced healthcare environment.
Responsibilities:
• Process medical billing for hospital services, ensuring accuracy and compliance with regulations.
• Manage claims submissions and follow up to secure timely reimbursements.
• Investigate and resolve medical denials by identifying causes and implementing corrective actions.
• Prepare and submit appeals for denied claims to achieve resolution.
• Maintain detailed records of billing activities and collections processes.
• Collaborate with insurance companies and healthcare providers to resolve outstanding claims.
• Monitor and report on accounts receivable to ensure timely payments.
• Implement strategies to improve billing efficiency and reduce claim denials.
• Provide support for audits and compliance reviews, ensuring all documentation is accurate.
• Stay updated on industry regulations and billing requirements to maintain adherence.
• Proven experience in medical billing, claims, and collections within a hospital or healthcare setting.
• Strong knowledge of medical denials and appeals processes.
• Familiarity with hospital billing systems and practices.
• Ability to analyze and resolve issues related to claims and payments.
• Excellent organizational skills for managing detailed records and multiple accounts.
• Effective communication skills to interact with insurance providers and healthcare teams.
• Proficiency in relevant billing software and tools.
• Understanding of healthcare regulations and compliance standards.