Medical Policy Specialist jobs in Stamford, CT

Performance Optimal Health is a leading healthcare company specializing in holistic wellness. Our mission is to help individuals achieve optimal health through a balanced approach of exercise, nutrition, recovery, and stress management. As a Medical Billing Specialist at Performance Optimal Health, you will play a crucial role in managing the revenue cycle and ensuring accurate and timely billing for our patients.

In this role, you will be responsible for processing and submitting medical claims, following up on claims and denials, posting payments, and resolving billing issues. Additionally, you will communicate with insurance providers and patients to address any billing inquiries or concerns.

Our ideal candidate is detail-oriented, highly organized, and has a strong understanding of medical billing procedures and guidelines. The ability to work in a fast-paced environment while maintaining accuracy is essential for success. We are seeking an individual who is passionate about helping others and shares our commitment to delivering exceptional patient care.

Responsibilities:

• Process and submit medical claims to insurance companies and other payers
• Follow up on unpaid claims and denials, and appeal claims if necessary
• Post payments received from insurance companies and patients
• Investigate and resolve billing issues and discrepancies
• Communicate with insurance providers and patients to resolve billing inquiries
• Maintain accurate and detailed documentation of billing activities
• Adhere to billing regulations and compliance standards
• Collaborate with the finance team to ensure accurate and timely financial reporting