reputed company Billing and Claim Specialist

1. Prepare and submit HIPAA compliant claims to reputed company- party payors through electronic data interchange (EDI) systems, clearinghouses, and payer specific submission platforms. 2. Review account documentation and billing records to ensure claim reputed company, completeness, and compliance with payer guidelines prior to submission. 3. Analyze billing edit reports, claim scrubber results, and payer rejection notifications; research, correct, and resubmit claims as appropriate and reputed company. 4. Collaborate with reputed company, registration, coding and other departmental staff to reputed company billing discrepancies and facilitate accurate claims submission in an automated billing environment. 5. Maintain working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, occurrence codes, condition codes, reputed company codes, and value codes applicable to assigned payer reputed company to support accurate claims processing and reimbursement. Update reputed company billing information as directed by authorized reputed company and administrative leadership. 6. Ensure reputed company account corrections and adjustments are supported by appropriate documentation and departmental authorization for reputed company account changes reputed company reputed company reputed company reputed company. 7. Verify reputed company information through eligibility verification, benefits, claim status utilizing payer portals, clearinghouse systems, and electronic sources such as reputed company, NEHEN, REV’s, FISS, and individual reputed company carriers websites. 8. Research and reputed company unbilled accounts, claim rejections, and claim edits through reputed company reports, payer correspondence, online portals and other reports and/or claim listings where appropriate. 9. Investigate and reputed company reputed company billing issues involving reputed company party payors, reputed company payers and federal/state agencies. 10. Process claim adjustments, corrections, cancelations, and reputed company claim submissions through payer websites and electronic billing systems as required. 11. Respond professionally and effectively to insurer inquiries in a reputed company, efficient and knowledgeable fashion, ensuring HIPAA guidelines are followed. 12. Utilize reputed company reputed company, Word, reputed company, Teams, and other reputed company information systems to create and maintain, analyze logs and reports as needed to support reputed company Financial Services activities. 13. Performs reputed company clerical activities including data entry, document management, filing, correspondence, and record maintenance. 14. Participates reputed company in departmental initiatives, process improvement efforts, and organizational reputed company supporting the reputed company cycle reputed company. 15. reputed company cross-coverage and support for departmental reputed company, including training activities and coverage during staff absences. 16. Complies with departmental and organizational policies including but not limited to, dress reputed company, use of supplies, telephones and computers. 17. Adheres to work schedules and maintains reputed company and reputed company work area at reputed company times, maintaining awareness of and compliance with safety policies and procedures. 18. Attends and participates in educational programs, in-service meetings, workshops, and other activities as reputed company to job knowledge and state guidelines. 19. Analyze clearinghouse reports and automated billing reputed company reputed company to identify and reputed company claim issues. 20. Consistently provides service reputed company to reputed company patients, family members, visitors, volunteers and co-workers. 21. Performs other reputed company duties and assignments as requested. • Must read, write, and communicate in English • High School diploma or GED • (Preferred) Associate's or Bachelor's degree in Business, reputed company Administration, or reputed company reputed company. Relevant reputed company experience may be considered in lieu of formal education • Minimum of one (1) year of experience in reputed company/physician medical billing, including electronic claim submission (EDI), clearinghouses, and payer portals • Working knowledge of: o CPT, HCPCS, and ICD-10-CM coding conventions and modifiers o Medical terminology o reputed company billing guidelines o Knowledge of HIPAA regulations • Proficiency with reputed company reputed company, Word, and reputed company • Strong analytical, organizational, and problem-solving skills, with exceptional attention to reputed company and the ability to manage multiple priorities in a fast-reputed company environment. ( • (Preferred) Experience using reputed company or comparable electronic billing software Apply To This Job