Billing Specialist

Job Description We are searching for a meticulous individual to take up vital duties within our healthcare organization. The responsibilities of the Billing Specialist include but are not limited to: Handle insurance-related claims and data entry, ensuring precision in documentation and information transfer. Submit insurance claims efficiently, both electronically and manually. Address unpaid or rejected claims through persistent follow‑up with insurance entities, solving issues, and facilitating resubmission. Act as a primary link between our organization, insurance companies, and provider representatives to ensure timely and appropriate settlement of claims. Communicate impactful payment or denial situations to the leadership team. Oversee outstanding accounts, analyze aging reports, and verify patient eligibility and coverage. Collaborate with field staff to gather additional information or clarify diagnoses for claim submissions. Candidates applying to this position are required to have the following: Hold at least a high school diploma or equivalent. Preferred qualifications include an associate's degree or medical billing degree, and 1-2 years of relevant professional experience. Be familiar with insurance and reimbursement processes, with a basic understanding of ICD 9 and CPT medical billing codes, and comprehensive knowledge of managed care authorizations and coverage limits. Appreciate and enforce HIPAA privacy requirements concerning patient data. Demonstrate a detail‑oriented approach and efficiently prioritize tasks. Essential traits include excellent communication, follow‑up skills, good mathematical abilities, and proficient data entry skills. Experience with Sycle Practice Management Software is desirable but not a prerequisite. Maintain strong proficiency in MS Office, general computing, and confidently use common office equipment. #J-18808-Ljbffr