Billing Specialist

Responsible for managing and processing medical billing activities to ensure accurate and timely reimbursement. This role requires a solid understanding of insurance requirements, regulatory guidelines, and medical billing procedures.

Key responsibilities include:

• Communicating with the Billing Supervisor regarding departmental needs and claim rejection trends
• Maintaining compliance with reimbursement rules, HIPAA, JCAHO, and company standards
• Monitoring reimbursement and payment rule changes and communicating impacts to the team
• Reviewing authorizations, prescriptions, and claim verifications to support clean claim submission
• Billing equipment charts and delivery tickets according to insurance guidelines
• Ensuring orders are billed within 72 hours of task creation
• Working billing rejections and batch exceptions
• Supporting additional duties as assigned