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Medical Claims Specialist

2 months ago

Cincinnati, Ohio, United States TriHealth Full time
Job Overview

The Medical Biller II plays a crucial role in ensuring the accuracy and timeliness of medical claims submissions. This position collaborates with the lead medical biller and billing staff to resolve denied claims and maintain a high level of productivity.

Key Responsibilities
  • Assist in submitting clean claims and ensuring timely follow-up
  • Collaborate with other teams to resolve denied claims
  • Review, investigate, and resolve credit balances
  • Ensure proper documentation in the facility's billing system
  • Provide excellent customer service skills
Requirements
  • High School Degree or GED
  • Billing knowledge, including ICD-9, ICD-10, and CPT terminology
  • Epic and Clearing House experience
  • Working knowledge of insurance policies and appeals
  • Consistently meets individual productivity incentive standards
  • 3-4 years experience in a related field
Working Conditions

This role requires the ability to work in a fast-paced environment and maintain a high level of productivity. The Medical Biller II must be able to communicate effectively with colleagues and patients, and possess excellent problem-solving skills.