Commercial Insurance Specialist

About the role

Performs various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria.

Responsibilities

• Comply with hospital and federal policies and guidelines in the billing and collection of claims.
• Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.

Qualifications

• High school diploma or equivalent.
• CPT-4, HCPCs, DRG, ICD-9 coding knowledge.
• Minimum 2 years Medicare MediCal billing and follow up experience in a hospital setting.