Responsible for billing claims and resolving claim issues for commercial and government insurance in accordance with approved processes, policies, and procedures set by the Regional Billing Organization.

Responsibilities

Prepare and correct claims so they cleanly pass from the EMR to the clearinghouse.
Post charges and complete claims to payers in a timely manner.
Resolve patient accounts by correcting billing edits and clearinghouse rejections.
Navigate portals to submit claims for adjudication.
Prepare invoices for third-party payers.
Prepare enrollments to send claims through the clearinghouse.
Analyze trends to reduce claim denials.
Communicate clearly and positively with assigned staff.
Provide excellent customer service to team members and patients.
Meet deadlines consistently, especially during end-of-month closings.
Support team productivity goals.
Participate in continuing education related to assigned duties.

Qualifications

High school diploma or GED required.

Minimum 5 years of medical billing experience.

Computer proficiency and experience with Windows-based technologies.

Ability to maintain confidentiality and protect patient PHI.

Prior experience in a medical office setting preferred.

Strong problem-solving skills and attention to detail.

Ability to manage multiple tasks independently.

Positive attitude when handling difficult situations.

Strong interpersonal, oral, and written communication skills.

Ability to work effectively as part of a team.

Billing Specialist

Responsibilities

Qualifications