MediClaim Pros

Role Description MediClaim Pros is currently seeking a detail-oriented and proactive Administrative Assistant to join our team. The successful candidate will support the smooth operation of daily administrative tasks, contribute to organizational efficiency, and play a key role in maintaining the high standards that define MediClaim Pros. This position offers the opportunity to grow within the medical practice industry and positively impact the behavioral health community by supporting the essential services our company provides. - Manage daily office operations including scheduling, correspondence, and data entry to support medical billing and revenue cycle processes. - Coordinate communication between clients, insurance payers, and internal departments to facilitate claims processing and resolution. - Maintain and update electronic health records and secure cloud-based databases ensuring accuracy and confidentiality. - Assist with accounts receivable follow-up and denial management by tracking outstanding items and preparing necessary documentation. - Support credentialing processes by organizing application materials and liaising with relevant organizations and providers. - Prepare reports and summaries related to claims status, reimbursement trends, and administrative metrics for internal review. - Ensure compliance with healthcare regulations and company policies in all administrative activities. Qualifications - Proven experience as an administrative assistant or in a similar role within the medical practice or healthcare industry is preferred. - Strong organizational skills with exceptional attention to detail and the ability to manage multiple tasks simultaneously. - Excellent written and verbal communication skills to effectively interact with clients, team members, and external stakeholders. - Proficiency with electronic health records (EHR) systems, cloud-based platforms, and common office software such as Microsoft Office Suite. - Familiarity with medical billing terminology, insurance claims processes, and healthcare regulations is a strong advantage. - Ability to maintain confidentiality and handle sensitive information with discretion and professionalism. - A team player with a proactive attitude, problem-solving skills, and a commitment to supporting quality healthcare services.

Role Description MediClaim Pros is seeking a detail oriented Medical Biller to manage the full lifecycle of insurance claims for our clients. This role is responsible for preparing, submitting, and following up on claims to ensure accurate and timely reimbursement. - Prepare and submit accurate medical claims to insurance companies using billing software and clearinghouses. - Review patient information, treatment documentation, and coding to ensure claim accuracy and completeness. - Monitor claim status and follow up with insurance payers to resolve unpaid or denied claims. - Perform denial management and resubmit corrected claims in a timely manner. - Post payments, adjustments, and reconcile accounts receivable balances. - Verify insurance eligibility and benefits prior to claim submission when required. - Maintain compliance with HIPAA and payer specific billing guidelines. - Communicate with internal teams to resolve discrepancies and improve billing workflows. Qualifications - High school diploma or equivalent required, associate degree in healthcare administration or related field preferred. - Minimum 2 years of experience in medical billing or revenue cycle management. - Familiarity with behavioral health or substance use disorder billing is preferred. - Knowledge of CPT, ICD coding basics and insurance claim processes. - Experience using electronic health records, billing software, and payer portals. - Proficiency with standard office tools including Microsoft Office and secure cloud based platforms. - Strong attention to detail and ability to manage multiple tasks efficiently. - Reliable high speed internet connection and dedicated workspace for remote work.