Insurance Billing Specialist

The Insurance Billing Specialist submits hospital claims to multiple third-party payers including, but not limited to: Managed Care plans; Medicare and Medicaid; hospice and other specialty claims. He/ She coordinates accumulation and verification of all necessary documentation required for billing and resolves claim level edits and errors as appropriate for accurate, compliant billing. The Insurance Billing Specialist performs follow up duties associated with re-billing, claim level denials, adjustments and collections of all overdue accounts in accordance with best business practices. He/ She identifies problems and solutions or enhancements to resolve billing issues, including, billing frequency, required forms, and general billing requirements. The Insurance Billing Specialist communicates issues and offers suggestions to service line departments and management to improve processes within the Revenue Cycle....Billing Specialist, Insurance, Billing, Specialist, Accounting, Healthcare