Allergy Billing Specialist

Description Managing the revenue cycle specifically for allergy and immunology services: Specialty Coding : Code and bill specific services using ICD - 10, CPT and HCPCS standards including allergy skin testing and in office immunotherapy (Allergy shots /mixes) Insurance verification & Authorizations : Verify patient insurance eligibility, coverage limits and pre-authorizations prior to the scheduled clinic visits or immunotherapy programs. Denial & A/R Management : Review Claims rejections, denials and underpayments, research payor policies and submit formal appeals with the supporting medical records. Payment posting : Post patient payments, copayments, deductibles and adjustments into the EHR system. Patient Communication : Answer patient inquiries regarding bills, explain Explanation of Benefits (EOBs) and set up or manage payment plans. Clinical Collaboration : Work closely with providers, allergy nurses and clinical staff to resolve documentaion, charge capture or coding discrepancies. Compliance : Ensure all billing and coding practices adhere to HIPAA guidelines, federal healthcare regulations, and specific insurance payor policies. Requirements Experience : Generally 1-5 years of medical billing experience. Specialty or allergy /immunology experience preferred. Knowledge base : Strong familiarity with medical billing software, EHR platforms and specialized allergen immunotherapy reimbursement guidelines #J-18808-Ljbffr Advocare, LLC