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Medical Billing – Qualification Specialist

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Medical Billing – Qualification Specialist

Required Qualifications

  • High school diploma or equivalent.
  • Proven experience with insurance verification, prior authorizations, or reauthorizations in a medical or healthcare setting.
  • Strong knowledge of Medicare, Medicaid, private insurance, and managed care plans.
  • Working knowledge of medical terminology, CPT codes, and ICD-10 coding.
  • Experience using EHR/EMR systems, insurance portals, and billing software.
  • Excellent attention to detail, organization, and written and verbal communication skills.
  • Strong customer service skills with the ability to communicate effectively with patients, providers, and insurance representatives.

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