Billing Specialist II

The Billing Specialist II is responsible for advanced billing functions, including comprehensive claim review and submission, managing complex cases, and ensuring compliance with detailed payer requirements.

Requirements

• Verify patient demographic and insurance data
• Prepare, review, and submit electronic and paper claims
• Maintain current knowledge of internal billing protocols, coding updates, and payer-specific requirements
• Enter and review census data from multiple facilities in Monday.com and billing platforms
• Follow established billing procedures and escalate irregular issues as needed
• Provide guidance to entry-level billing specialists
• Participate in internal audits and recommend adjustments to billing policies and workflows
• Maintain compliance with HIPAA and data privacy regulations
• Manage multiple assignments with a focus on quality and completion within required timeframes