Billing Specialist

• Under limited supervision, responsible for performing any combination of routine calculating, posting and verifying duties to obtain primary insurance data for use in preparing statements to patients' insurance carriers.
• May prepare notices to patients of amount expected (or received) from insurance and amount expected from patient.
• Leads or mentors lower level team members.
• This role requires in-depth knowledge of transplant billing processes, authorization requirements, and case rate structures.
• Serve as the lead for transplant registration, ensuring accuracy and compliance throughout the registration and verification process.
• Strong knowledge of Epic system functionality, with specific expertise in transplant workflows and phase management.
• Trains all new insurance follow up employees on Institutional standards and guidelines.
• Works with existing insurance follow up staff in reviewing work and improving performance as directed.
• Identifies opportunities for improvement of insurance follow up workflows.
• Proactively works with management to implement improvements as appropriate.
• Assists insurance follow up teams with denial management as requested by Director.
• Performs all other duties as assigned.

Senior Medical Office Billing Clerk, ADM Central Verification

Billing Coordinator I – Healthcare Billing Specialist

Billing Specialist

Physician Billing Specialist

Billing Analyst

eBilling Specialist