Medical Billing Claims Specialist

Caddis Capital Management•Salt Lake City, UT

80d•Onsite

About The Position

Caddis Capital Management, the management company for Alpine Home Medical, Copper Star Home Medical Supplies, and You Can Home Medical, is seeking a Medical Billing/Claims Specialist. This role is responsible for billing insurance claims, following up on accounts receivable, coordinating collections on unpaid claims, and assisting patients with billing inquiries. The position requires strong customer service skills and knowledge of third-party medical insurance reimbursement requirements.

Requirements

Ability to function as a polite, cooperative team member.
Professionalism and a positive attitude.
Ability to always maintain confidentiality.
Computer literacy – particularly with Microsoft Office Suite software.
Effective verbal and written communication skills.
Keen attention to detail and ability to work with minimal supervision.
Excellent phone etiquette with customers
Familiarity with insurance rules and regulations.
High school diploma or G.E.D.

Nice To Haves

Prior experience with medical insurance providers
Previous HME experience
An Associate's degree
Bilingual skills (Spanish/English)
Previous medical insurance billing experience
Experience with any billing systems

Responsibilities

Processing claims for payments from all payment sources.
Inbound and outbound calling (to patients, insurances and customers)
Following-up on claim denials, requests for additional information, and non-payment in a timely manner.
Working aging accounts as determined by the Accounts Receivable Manager.
Handling customer and 3rd party payers concerns related to billing, while maintaining confidentiality and excellent customer service.
Assisting with developing and updating policies and procedures for efficient claims processing and increased productivity of billing department.
Maintaining customer billing information through date change forms, note documentation, and claims management notes.
Attending department meetings and other workshops to stay current with job responsibilities.
Maintaining a working knowledge of computer applications as it pertains to billing functions of the organization.
Maintaining working knowledge of reimbursement issues of equipment and supplies for third-party payment, such as pricing, codes, denial and resubmission criteria, and medical reviews.
Performing any other duties as deemed appropriate by management.