Insurance Billing Specialist - HRPN - FT
Core
Performs patient account and billing activities including claims preparation, billing, collection, and resolving payer inquiries.
Role type
Insurance Billing Specialist
Builds
Patient payment processing and claims resolution
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Payer contract analysis, medical terminology, 10-key skills, claims adjudication, denial management, eligibility verification
Preferred skills
HME/DME knowledge, advanced medical billing experience
Technologies
10-key, EHR systems (implied by context)
Responsibilities
Analyze and review claims to meet payer-specific billing requirements; Resolve routine patient billing inquiries and problems; Follow up on billing and apply adjustments; Review and verify insurance accounts against program provisions; Respond to denials from payers regarding diagnosis, procedure codes, and medical necessity; Ensure documentation is complete and timely according to policy.
Seniority
Entry-level to Mid-level, individual contributor