Hospital Billing Specialist
Core
Acts as a liaison for hospitals and clinics to bill insurance companies, pursue claim collections, and manage billing resolutions.
Role type
Billing Specialist (Medical/Healthcare)
Builds
Hospital, physician, and clinic billing claims for insurance carriers
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Medicare billing, CPT and ICD-10 coding, medical terminology, EOB interpretation, denial management, claim appeals, claim rejection processing, credit report review
Preferred skills
Experience with Critical Access or Acute Care facilities, experience filing claim appeals
Technologies
Electronic billing systems, hard copy billing processes
Responsibilities
Prepare and submit hospital and clinic claims to third-party insurance carriers; secure medical documentation; follow up on unpaid claims; process claim rejections and resubmit; meet production and quality assurance standards; read and interpret Explanation of Benefits (EOB); manage denial and appeal processes; review late charge reports and credit reports; resolve reimbursement issues with billing managers.
Seniority
Mid-level, hands-on IC