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Healthcare Billing Specialist
2 months ago
At Unavailable, we are dedicated to delivering exceptional healthcare services through our integrated health system. Our organization prides itself on a collaborative environment where skilled professionals come together to enhance patient care across various facilities. As a part of our team, you will be supported with comprehensive benefits, including health, dental, and vision coverage, flexible spending accounts, retirement plans with matching contributions, paid time off, and opportunities for annual bonuses.
Key ResponsibilitiesThe Healthcare Billing Specialist plays a crucial role in ensuring the timely submission of accurate claims to insurance providers. This position is essential for resolving inquiries from insurers regarding services rendered, thereby optimizing revenue flow for our organization. The responsibilities include:
- Engaging with insurance providers and patients through both verbal and written communication.
- Implementing quality checks to guarantee that clean claims are dispatched to insurance companies.
- Adjusting CPT and ICD-10 codes as advised by certified coding professionals, updating patient registrations, and conducting batch research.
- Performing follow-ups and reconciliations on both credit and debit accounts.
- Conducting audits on records and claims submissions, and initiating appeals when necessary.
- Securing retro-authorizations for claims reconsideration.
- Performing root cause analysis and generating trend reports for management to enhance accuracy measures.
- Proven ability to stay informed about the billing requirements of assigned payers; strong analytical, problem-solving, and communication skills are essential.
- Familiarity with medical terminology, billing and collection practices, and workflows is required; knowledge of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10) is preferred.
We are an equal opportunity employer, committed to fostering a diverse and inclusive workplace.
