AR Specialist/ Medical Biller
hace 2 días
Mesa
Job Description Position Summary : The ideal candidate will be responsible for managing the billing process, and ensuring accurate claims submission. This role requires a strong understanding of medical terminology, billing systems, and the ability to work efficiently in a fast-paced medical office environment. Responsibilities : Ensure the patient’s information is kept confidential, accurate and up to date. Follow and adhere to all regulations and guidelines set by state and federal programs, as well as commercial plans - HMO/PPO, etc. Confirm patient insurance eligibility. Prepare and timely submit billing data and medical claims to insurance companies. Examine patient superbills for accuracy and requesting any missing information. Handle and answer all patient or insurance telephone inquiries. Maintains quality results by following standards. File and maintain organized documentation of all billing and record Knowledge Areas & Requirements : • Demonstrated knowledge of CPT, ICD-10, HCPCS, • Experience in EMR/EHR systems is a plus, • Familiarity with payer policies, EOBs, and insurance claims processes., • Candidates must be able to work with high volume of work while maintaining attention to detail and accuracy and demonstrate excellent oral and written communication skills., • Computer skills required to operate practice management system (i.e., use Window operating system, conduct Internet searches, communicate by email, etc.), • Prioritization and multi-task skills are a must, • Working knowledge of current Microsoft Office applications, • High School Diploma or equivalent required.Company DescriptionCredence Global Solutions (“CGS”) is a Dallas, Texas based diversified technology driven financial transformation company with deep expertise in receivables management and voice based BPO. With focus on Receivables Management, Healthcare RCM, Technology Platforms and Contact Center verticals, CGS services leading telecommunication, healthcare, and media companies. Healthcare providers serviced by CGS include medical transport providers, emergency physicians, health infusion service providers and diagnostic laboratories. In the telecommunication vertical, CGS serves four of the top five providers in United States. Credence Resource Management is the flagship company of the Credence Group. Our mantra is Excellence Beyond Belief. Challenges, growth opportunities and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our teams are encouraged to continually explore their talents and pursue their interests, giving them the authority to gain knowledge and skills to truly be the expert in their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of your team. Headquartered in Dallas TX, we have delivery offices in San Jose CA; Natchez MS; Mesa AZ & Pune India. Visit to know more about the company.Credence Global Solutions (“CGS”) is a Dallas, Texas based diversified technology driven financial transformation company with deep expertise in receivables management and voice based BPO. With focus on Receivables Management, Healthcare RCM, Technology Platforms and Contact Center verticals, CGS services leading telecommunication, healthcare, and media companies.\r\n\r\nHealthcare providers serviced by CGS include medical transport providers, emergency physicians, health infusion service providers and diagnostic laboratories. In the telecommunication vertical, CGS serves four of the top five providers in United States.\r\n\r\nCredence Resource Management is the flagship company of the Credence Group.\r\n\r\nOur mantra is Excellence Beyond Belief. Challenges, growth opportunities and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our teams are encouraged to continually explore their talents and pursue their interests, giving them the authority to gain knowledge and skills to truly be the expert in their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of your team.\r\n\r\nHeadquartered in Dallas TX, we have delivery offices in San Jose CA; Natchez MS; Mesa AZ & Pune India. Visit to know more about the company.