Specialist, Billing

This Billing Specialist role focuses on all aspects of inpatient and outpatient claims processing. The specialist is responsible for creating, following up on, and resolving billing issues, ensuring accurate reimbursement from various payers and administrative compliance. It involves interacting with patients, providers, and insurance companies to improve billing processes and coding practices.

Requirements

• Perform and monitor billing processes.
• Prepare and submit claims to third party payers.
• Follow billing guidelines and legal requirements.
• Respond to account inquiries.
• Identify and resolve billing issues.
• Stay updated on Medicare, Medicaid, and other commercial payer rules.
• Assist with coding, billing, and documentation education.
• Maintain confidentiality and adhere to HIPAA guidelines.