Medical Billing Specialist

Responsibilities Resolve all levels of denials. Professional appeal submission with supporting documentation. Identify and present the payer trends among the claims that are denying. Communicate and work with leaders to mitigate. Collaborate professionally internally or with external departments when needed to resolve edits or denials. Present appropriate accounts for payer agendas with clear rationale and supporting documentation. Ability to be the learning partner for peers. Manage and complete assigned projects timely. Proper and detailed notation of actions taken on the account. Review, understand, and locate payer policy guidelines as required. Ability to locate claim adjudication details with the supporting documentation. Proficient use of Epic, OnBase, and other platforms as needed. Meet daily/weekly productivity standards with acceptable QA results. Requirements High School Diploma or G.E.D. – required Associate's Degree – preferred 2+ years medical billing experience – required Strong Epic Resolute billing experience – required Ability to work independently and within a team Excellent verbal and written communication skills Ability to communicate with internal peers and leadership Demonstrates an ability to learn and understand instruction Ability to effectively prioritize and execute tasks in a high-volume atmosphere Microsoft Office and website knowledge CCS-Certified Coding Specialist Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) – preferred upon hire Equivalent combination of relevant education and experience may be substituted as appropriate Certifications & Qualifications High School Diploma Associate's Degree CCS-Certified Coding Specialist Certified Inpatient Coder (CIC) Certified Outpatient Coder (COC) #J-18808-Ljbffr