Grace Care Homes

Billing Specialist

• Prepare and submit accurate insurance claims using DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards.
• Review and verify medical records for completeness and accuracy prior to billing.
• Manage accounts receivable by following up on unpaid claims and patient balances through medical collection processes.
• Utilize EMR and EHR systems to document billing information and update patient records efficiently.
• Collaborate with medical staff to ensure proper documentation of services rendered with appropriate medical terminology.
• Reconcile billing discrepancies and resolve claim denials promptly to ensure timely reimbursement.
• Maintain organized records of all billing transactions, claims, and correspondence for audit purposes.
• Stay updated on changes in medical coding regulations and insurance policies to ensure compliance.

Prior Authorization/Billing Specialist