Paradigm

Billing Specialist

• Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles
• Ensure all claim details are complete and error-free, including coding, provider information, and service dates
• Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
• Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections
• Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission
• Ensure compliance with industry regulations, payer policies, and internal billing procedures
• Maintain accurate and organized billing records and documentation
• Identify and report billing trends, potential errors, and areas for process improvement
• Collaborate with internal teams to standardize billing practices and enhance efficiency
• Support billing audits and internal quality control measures
• Other duties as assigned