Medical Billing Clerk/Specialist*

*Full-Time, Part-Time, Remote, On-Site, and Hybrid opportunities available

ProNexus, LLC is seeking Medical Billing Clerks/Specialists to join our Firm.

Joining ProNexus offers the opportunity to work with diverse clients and tackle challenging projects that will expand your skills and expertise in the field of accounting and finance.

Enjoy the freedom and flexibility to choose your engagements, manage your workload and control your work life balance.

If you are a motivated and dedicated professional looking for a rewarding career opportunity, we encourage you to apply and become part of our team.

Attributes of our consultants include: commitment to unparalleled client service, adept at navigating complex and dynamic scenarios, possessing strong communication acumen, and proficient in problem-solving, execution, and knowledge transfer. Skilled in multitasking to efficiently meet diverse demands of our clients.

About the Role

ProNexus is seeking detail-oriented and organized Medical Billing/Clerks Specialists to assist our clients. The primary responsibility of this role is to accurately and efficiently process medical claims and invoices, ensuring timely reimbursement from insurance companies and patients for our healthcare clients. Ideal candidates will possess a strong understanding of medical billing procedures, insurance policies, and coding systems.

Key Responsibilities:

• Review and verify patient demographic and insurance information for accuracy and completeness.
• Generate and submit medical claims to insurance companies electronically or by mail.
• Ensure that all claims comply with insurance regulations and company policies.
• Follow up on unpaid or rejected claims, identifying and resolving any discrepancies or errors.
• Communicate with insurance companies, patients, and healthcare providers to resolve billing issues and inquiries.
• Post payments received from insurance companies and patients to appropriate accounts.
• Review and appeal denied claims as necessary, providing additional documentation or information as required.
• Maintain accurate and up-to-date records of billing activities, including claims, payments, and adjustments.
• Stay informed about changes in insurance regulations, coding systems, and billing procedures.
• Collaborate with other members of the billing and administrative team to improve efficiency and accuracy in billing processes.

Qualifications:

• High school diploma or equivalent; associate or bachelor’s degree in healthcare administration or related field preferred.
• Proven experience working in medical billing or healthcare administration role.
• Strong knowledge of medical billing software, coding systems (such as CPT, ICD-10), and insurance procedures.
• Excellent attention to detail and accuracy in data entry and record-keeping.
• Effective communication and interpersonal skills, with the ability to interact professionally with patients, insurance companies, and healthcare providers.
• Ability to prioritize tasks and work independently in a fast-paced environment.
• Familiarity with HIPAA regulations and patient privacy laws.
• Certification in medical billing and coding (e.g., Certified Professional Biller) is a plus.
• Proficiency in Microsoft Office applications, especially Excel and Word.
• Experience in a customer service or client facing role, and/or public accounting, consulting or advisory roles is advantageous.

About ProNexus

ProNexus is a professional services firm that delivers business solutions and consulting services to help companies manage and execute their finance, accounting, and IT projects and initiatives. At ProNexus, our consultants and project professionals have an average of 7-20 plus years of experience and they bring a higher degree of competency, quality, and productivity at a more competitive value than other traditional consulting and Big 4 firms.

ProNexus is an equal opportunity employer and values diversity in the workplace. We do not discriminate on the basis of race, color, religion, gender, sexual orientation, age, marital status, veteran status, or disability status.

How to Apply

Complete our Preliminary Questionnaire and upload a copy of your current resume at the bottom of the form.