Billing Specialist I
: Job Details :

The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. Essential Functions Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. Maintains accurate ...Billing Specialist, Billing, Medical Billing, Specialist, Medical Biller, Insurance, Healthcare