Billing Specialist - Endoscopy

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• serves as the primary point of contact for insurance companies, payers, and patients regarding billing inquiries and claim resolution
• reviews and processes insurance claims, ensuring timely submission and compliance with payer guidelines
• identifies and resolves credit balances, reclassifies revenue, and processes adjustments according to transaction coding policies
• researches and resolves claim denials and rejections, working proactively to identify trends and implement corrective actions
• monitors and works vendor/payer audit trails, submitting secondary claims and addressing discrepancies as needed
• maintains up-to-date knowledge of federal, state, and payer billing guidelines, utilizing payer websites for claims follow-up
• assists in training staff and providers on billing updates, maintaining a centralized electronic repository for reference materials
• ensures proper billing and collection procedures in collaboration with management, clinic staff, and coding teams
• maintains confidentiality and ensures compliance with HIPAA regulations and company policies
• performs other duties as assigned
• maintains regular and reliable attendance
• complies with all policies and standards

• 2-4 years of experience in medical billing, insurance claims processing, or revenue cycle management required
• 1-3 years in collections, knowledge of third party billing, and insurance reimbursement required
• 0-1 years of experience with Medicare preferred

• health insurance
• 401(k)
• licensure/certification reimbursement
• tuition reimbursement
• student loan assistance

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