Billing Escalation Specialist

Job Summary

A company is looking for a Billing Escalation Specialist responsible for managing patient health information and ensuring compliance with billing processes.

Key Responsibilities

• Establish and maintain security of medical records to ensure patient confidentiality
• Review patient records for accuracy and compliance with regulations
• Prepare, review, and transmit claims using billing software

Required Qualifications

• Knowledge of insurance guidelines including HMO/PPO, Medicare, and Medicaid
• Familiarity with CPT and ICD-10 Coding
• Understanding of medical terminology related to medical claims
• Ability to multitask and manage priorities effectively
• Experience with electronic and paper claim processing