What are the responsibilities and job description for the Medical Clearing House/Medical Claims Follow Up position at Lm2 Resource Solutions?
Position: Medical Clearing House/Medical Claims Follow Up
LM2 Resource Solutions is a leading provider of healthcare staffing and consulting services in Goldsboro, NC. We are dedicated to helping healthcare organizations improve their operations and patient care by providing highly skilled and qualified professionals. Our team is committed to delivering exceptional service and building long-term relationships with our clients.
Position Overview:
We are seeking highly motivated and detail-oriented individuals to join our client's Medical Billing team in the areas of Clearing House, and Claims Follow-up. Ideal candidates will have experience in medical billing and coding (or equivalent experience in areas of Customer Service and Management). Medical background is a plus, but not necessary. This is a full-time, office setting position with the opportunity for growth and advancement.
Responsibilities:
- Verify insurance coverage and eligibility
- Provide exceptional customer service to patients and insurance companies
- Maintain confidentiality of patient information in compliance with HIPAA regulations
- Maintain up-to-date knowledge of insurance regulations and coding guidelines
- Work closely with healthcare providers to ensure accurate and timely billing
- Review and process medical claims accurately and efficiently
- Communicate with insurance companies to resolve any issues or discrepancies
- Follow up on unpaid claims and denials
- Prepare and submit appeals for denied claims
- Manage accounts receivable and assist with collections as needed
Requirements:
- High school diploma or equivalent
- Minimum of 2 years of experience in medical billing and coding (or in management, customer service roles)
- Knowledge of medical terminology, CPT and ICD-10 coding helpful
- Familiarity with insurance plans and reimbursement processes
- Excellent attention to detail and ability to multitask
- Strong communication and interpersonal skills
- Proficiency in Microsoft Office and electronic medical record systems
- Ability to work independently and as part of a team
- Must be able to maintain confidentiality and handle sensitive information
- Certified Professional Coder (CPC) certification is a plus
Client Offers:
- Competitive salary and benefits package
- Opportunities for professional growth and development
- Supportive and collaborative work environment
- Positive and inclusive company culture
- Work-life balance and flexible scheduling options
If you are looking for a career in medical billing, we encourage you to apply for this position. Contact LM2 Resource Solutions and make a positive impact on the healthcare industry in Goldsboro, NC.
