Intermediate Clinical Billing Specialist
Core
Manage payer rejections, claim edits, and ensure timely clean claim submissions within filing deadlines.
Role type
Intermediate clinical billing specialist
Builds
Clean electronic and paper medical claims for reimbursement
Domain
Healthcare revenue cycle management
Required skills
3rd party billing requirements analysis, patient account balance analysis, payer contract term analysis, basic accounting, calculator usage, system functionality navigation
Preferred skills
CPT coding, ICD-10 coding, HCPCS coding, Windows environment, billing software, EPIC system
Responsibilities
Complete and review electronic and paper specialized billing for accuracy, review and correct claims failing system edits, review accounts to avoid duplicate claims, contact payers or patients for additional billing information, report claim billing issues to management, follow up with payers to ensure timely reimbursement, participate in compliance and regulatory programs
Seniority
Intermediate, hands-on IC