Billing Specialist
Ascendo
Job Summary We are seeking a detail-oriented Billing Specialist to join a growing healthcare organization. This individual will be responsible for processing and submitting insurance claims, ensuring billing accuracy, and resolving claim discrepancies. The ideal candidate will have experience in medical billing, specifically within home infusion, specialty pharmacy, or infusion-related services. Key Responsibilities
Shelsea Rodriguez
- Prepare, review, and submit medical claims accurately and efficiently.
- Process billing for infusion medications and related healthcare services.
- Apply appropriate HCPCS, CPT, ICD-10, and NDC codes.
- Verify insurance coverage, authorizations, and payer-specific billing requirements.
- Review and correct billing errors, rejected claims, and discrepancies.
- Work closely with internal departments to obtain necessary billing documentation.
- Maintain accurate patient billing records and documentation.
- Monitor outstanding claims and ensure timely submissions.
- Follow Medicare, Medicaid, and commercial insurance billing guidelines.
- Ensure compliance with HIPAA regulations and billing procedures.
- High School Diploma or GED required.
- 2+ years of medical billing experience.
- 1+ year of infusion billing, home infusion pharmacy, or specialty pharmacy billing experience required.
- Knowledge of Medicare, Medicaid, and commercial insurance billing.
- Familiarity with HCPCS, CPT, ICD-10, and NDC coding.
- Experience with medical billing software and electronic claims processing.
- Strong attention to detail, organizational skills, and ability to manage multiple priorities.
- Proficiency in Microsoft Office applications.
- Previous experience in home infusion or specialty pharmacy billing.
- Familiarity with infusion medications and related billing procedures.
- Experience using electronic claims submission systems and clearinghouse platforms.
Shelsea Rodriguez
Vacancy posted 3 days ago
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