Billing and Claims Specialist II

Job Summary

A company is looking for a Billing and Claims Specialist II.

Key Responsibilities

• Manage claim processes including submission, follow-up, and correspondence with providers
• Analyze and resolve claim submission edits and payer rejections
• Assist in training new Billing and Claims Specialist I team members and support process improvements

Required Qualifications

• High school diploma or equivalent required; Bachelor's degree preferred
• Certified Revenue Cycle Representative certification required upon hire
• Minimum 3 years of medical billing experience required
• Experience working with medical payers including Medicare, Medicaid, and commercial insurance required
• Working knowledge of CPT and ICD-10 coding systems required