Billing Specialist
Riverview Health · Noblesville, IN · 2 mo ago
SalesFull-time
Responsibilities
- Prepare and submit claims to assigned insurance companies.
- Analyze, correct, and resolve claims edits related to billing, charging, and registration errors promptly and accurately to ensure clean claims are submitted in a timely manner.
- Review charges and verify appropriate usage of modifiers, CPT codes, and ICD-10 codes prior to billing.
- Research payer-specific billing and reimbursement rules, including but not limited to Correct Coding Initiative (CCI) edits.
- Resolve clearinghouse rejections and errors.
- Work in Epic EMR to make all claims corrections and resubmit claims when appropriate.
- Monitor claim edit work queues to ensure claims are resolved and submitted within 24 hours.
- Proactively communicate problems or issues in a timely manner for continuous workflow.
- Other duties as assigned.
Requirements
- High school diploma or GED.
- Minimum: One (1) year of experience working with insurance balances in a business office or similar role.
- Preferred: Two (2) years of billing experience working in Epic EMR.
Qualifications
Preferred education: High School or better in General Business, or GED or better in General Business.