Billing Specialist

About the role

This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims.

Responsibilities

• Performs accurate review, analysis, and correction of denied and rejected claims
• Performs follow-up on unpaid accounts to collect payment
• Research correspondence and information from phone calls with payers to ensure accurate account handing
• Reviews patient insurance information for accuracy making any necessary updates
• Works closely with payer representatives to bring accounts to completion
• Reports trends and payer issues to management
• As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties

Minimum Qualifications

• High School or GED

Skills

• The position requires a high school level of skills plus at least 1 year experience with similar work
• No certification or licensure required
• The job requires analytical skills to gather and interpret data where the information or problems are not overly difficult or complex
• This work also requires clear communication and organizational skills to prioritize and meet deadlines as needed

Schedule

• Work Shift: Day
• Scheduled Weekly Hours: 40

Pay

Not specified in posting.