Ancillary Billing Specialist

Responsible for monitoring denial trends, producing revenue and claims reports, and working claims that have been denied by insurance carriers. This role processes appeals and provides additional information needed to obtain reimbursement. It supports the ancillary operations team by helping manage current billing and claim issues and by informing future strategy.

The position focuses on ancillary service lines, including imaging/radiology, physical therapy, cardiac testing, and infusion services.

• Work aged accounts and respond to correspondence from insurance payers and sites to resolve billing issues that delay reimbursement.
• Develop billing, collections, and denials reports for each service line.
• Collaborate with partners and vendors to ensure information is shared accurately and on time.
• Analyze patient accounts, identify billing issues, and determine solutions with insurance companies.
• Re-file claims, request adjustments, process refunds, and take other corrective action as needed.
• Update patient demographic information and make necessary system corrections.
• Serve as a liaison between patients and payers to provide clear, accurate billing information and expedite payment.
• Conduct research to provide accurate account information.
• Report claim trends and specific issues to management.
• Recommend quality and process improvements to increase efficiency.
• Maintain HIPAA confidentiality standards.
• Attend meetings and complete training with Revenue Cycle and Ancillary teams as needed.