Customer service skills for interacting with customers regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.Familiarity with CPT and ICD-10 Coding.Knowledge of medical terminology likely to be encountered in medical claims.Maintaining patient confidentiality as per the HIPAA.Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.Knowledge of accounting and bookkeeping procedures.
