Hospital Billing Specialist
Core
Acts as a liaison for hospitals and clinics to bill insurance companies for medical services and pursue claim collections.
Role type
Hospital billing specialist
Builds
Insurance claim payments for hospitals, physician offices, and clinics
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Medicare billing, CPT and ICD-10 coding, medical terminology, reading EOBs, denial management, claim appeals, data confidentiality
Preferred skills
Experience with Critical Access or Acute Care facilities, familiarity with third-party insurance processes
Technologies
Electronic billing systems, hard copy billing formats
Responsibilities
Prepare and submit hospital and physician claims to insurance carriers, secure medical documentation, follow up on unpaid claims, process claim rejections and resubmit, meet production and quality assurance standards, interpret EOBs, manage denial appeals, review late charge reports and credit reports
Seniority
Mid-level, hands-on IC