Secretary, Healthcare

The secretary will work closely with the company to rectify payment denials, settle disputes, and receive due reimbursements. The ideal candidate will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims.

Duties/Responsibilities:

• Reviews and works on unpaid claims, identifying and rectifying billing issues.

• Communicates with insurance companies regarding any discrepancy in payments if necessary.

• Conducts research and appeals denied claims timely.

• Reviews Explanation of Benefits (EOBs) to determine denials or partial payment reasons.

• Provides detailed notes on actions taken and next steps for unpaid claims.

• Collaborates with the billing team to ensure accurate claim submission.

• Maintains a comprehensive understanding of the insurance follow-up process, payer guidelines, and compliance requirements.

• Resubmits claims with necessary corrections or supporting documentation when needed.

• Tracks and documents trends related to denials and work towards a resolution with the billing team.

• Assists patients with inquiries related to their insurance claims, providing clear and accurate information.

• All other duties as assigned.

Required Skills/Abilities:

• Proficiency in healthcare billing software.

• Strong analytical, organizational, and multitasking skills.

• Excellent verbal and written communication abilities.

• Ability to navigate payer websites and use online resources to resolve outstanding claims