Healthcare Billing Recovery Case Specialist I (Healthcare)

TL;DR

Healthcare Billing Recovery Case Specialist I (Healthcare): Managing delinquent accounts under the CMS Medicare Secondary Payer recovery program with an accent on medical claim billing, coding, and compliance. Focus on reviewing documentation, resolving billing issues, and ensuring adherence to regulations.

Location: Remote (US)

Company

hirify.global is a leading healthcare intelligence company specializing in payment solutions for health plans.

What you will do

• Review account claims and documentation to verify payment liability.
• Build case files and communicate with relevant parties to resolve billing issues.
• Update client and company systems with accurate information.
• Support internal groups with interpretation of EOB and healthcare billing concepts.
• Ensure compliance with HIPAA and other regulations.
• Achieve established metrics and goals consistently.

Requirements

• Minimum 6 months of medical billing experience, including Medicare.
• Minimum 2 years of experience in customer service or billing recovery.
• High School diploma or GED required.
• Knowledge of medical claim billing procedures and terminology.
• Ability to communicate effectively with various stakeholders.
• Proficiency in standard office technology and applications.