New Mexico Licensed Billing Specialist

Job Summary

A company is looking for a PFS Billing Specialist I.

Key Responsibilities

• Process and manage all insurance claims for various payer types, ensuring compliance with regulations
• Resolve billing edits and follow up on claims to ensure timely submission and payment
• Communicate with patients and insurance companies to gather necessary information for claim processing

Required Qualifications

• Minimum of 1 year experience in medical claim processing and/or insurance billing
• Experience with computerized account receivable systems is required
• Knowledge of ICD-10, HCPCS, CPT codes, and claim forms is preferred
• Understanding of various payer requirements and claim submission processes
• Continuous learning mindset due to changing payer regulations