Billing Specialist

• Monitor the status of medical claims to ensure prompt and accurate payment.
• Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
• Document all account activities accurately and in a timely manner.
• Post payments and correctly record adjustments as necessary.
• Understand and apply Medicare, Medicaid, and commercial insurance eligibility requirements and payment methodologies.
• Exhibit proficiency with billing systems and leverage all functionality to ensure the most efficient processing of claims.
• Maintain up-to-date knowledge of changes in billing and coding guidelines, payer contracts, and government regulations.
• Collaborate with team members and providers, fostering a positive and productive work environment.
• Willing to learn claims review and submission, and pre-visit eligibility and benefits verification to backfill other staff during absences.

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