Insurance Billing Specialist

Job Summary

To manage billing processes effectively, the full-time remote Insurance Billing Specialist will ensure timely and accurate billing of patient accounts, aiming to meet departmental goals for cash collections and accounts receivable.

Key responsibilities

• Perform pre-bill edits and claim scrubber edits for compliance with billing guidelines before submission to payers
• Adhere to state and federal regulations regarding ethical billing practices while managing billing-related denials to improve clean claim rates
• Generate daily reports on billing indicators and resolve combined billing requirements efficiently

Required qualifications

• High School Diploma or equivalent
• At least 4 years of electronic billing and/or billing editing experience in a hospital or physician office setting
• General knowledge of HCPCS, CPT-4, and ICD9-10 coding or medical terminology
• Familiarity with multiple payer requirements and regulations for claims processing
• Solid skills in Microsoft Office