What are the responsibilities and job description for the Claims Follow-Up Specialist position at Medical Billing Associates, Inc?
Claims Follow-Up Specialist – Medical Billing Associates
Full-Time | Sedalia, Missouri | $18.00 to $21.00 per hour | Based on Experience
About Us
Join Medical Billing Associates, a leading medical billing service provider in Sedalia, Missouri, where we empower healthcare providers with cutting-edge revenue cycle management solutions. Be part of a growing team dedicated to excellence and innovation in medical billing.
Position Summary
We’re seeking a skilled Claims Follow-Up Specialist who excels at resolving complex billing challenges. As a key member of our claims team, you’ll analyze denied claims, pinpoint root causes, and utilize your clinical knowledge and coding expertise to maximize revenue recovery.
What You'll Do
- Perform Advanced Claims Analysis: Investigate denied/rejected claims to identify and resolve coding errors, billing discrepancies, and documentation gaps, improving claim approval rates.
- Manage Payer Relations: Negotiate with insurance companies to resolve claim disputes efficiently.
- Collaborate with Providers: Work with healthcare teams to obtain accurate documentation and coding corrections.
- Lead Appeals Process: Prepare and submit comprehensive appeals to overturn denials.
- Drive Process Improvements: Analyze denial trends to develop strategies that reduce future rejections.
- Ensure Compliance: Maintain adherence to regulatory requirements and company standards.
What You Bring
Required Qualifications:
- Proven experience in medical billing and claims follow-up
- Strong knowledge of medical coding systems (CPT, ICD-10, HCPCS)
- Expertise in denial resolution and appeals management
- Familiarity with diverse payer types (Commercial Insurance, Medicare, Medicaid)
Preferred Qualifications:
- 1 years of experience in denial resolution or appeals management
- Proficiency with medical billing software
- Certification in medical coding (e.g., CPC, CCS)
Success Attributes:
- Exceptional analytical and problem-solving skills
- Self-motivated with strong independent work capabilities
- Outstanding communication and organizational skills
- Persistent approach to challenging claim resolutions
Why Join Our Team?
Comprehensive Benefits Package:
- Competitive salary ($18 to $21 per hour based on experience)
- 401(k) with company match
- 100% employer-paid health insurance
- Dental and vision insurance options
- Company-provided life insurance
- Generous paid time off
Work Environment:
- Full-time, in-office position (no remote work)
- Collaborative, supportive team culture
- Professional development opportunities
Ready to Apply?
Are you a results-driven professional with a passion for tackling complex billing challenges? Apply now to join our dynamic team and make an impact! Applications reviewed on a rolling basis—don’t miss your chance!
To Apply: Send your resume and a brief cover letter to MBAinccareers@outlook.com with the subject line: "Advanced Claims Follow-Up Specialist Application."
Job Type: Full-time
Pay: $18.00 - $21.00 per hour
Experience:
- Denial/Appeal Management: 1 year (Preferred)
Work Location: In person
Salary : $18 - $21