Advanced Billing Specialist

Job Summary

The Advance Billing and Insurance Specialist performs tasks essential for revenue collection and account management associated with accounts receivable.

The ideal candidate will have :

• High school diploma or GED, with advanced training in billing and insurance verification.
• Three to five years of experience in billing for Medicare, Medicaid, and commercial insurance, including credentialing.
• Proficiency in handling pre-accounts receivable work lists and managing claims denied by payers.
• General knowledge of CPT / HCPCS and ICD-10 coding guidelines.
• Thorough understanding of registration and insurance verification processes within the OCHIN EPIC EHE system.
• Preferred experience in accounting and accounts receivable management.

Essential Job Duties & Responsibilities

Other Job Duties & Responsibilities

Supervisory

Physical Demands / Work Environment

This job operates in a professional office environment, which usually has a moderate noise level due to conversations, office machinery, and communication devices. The atmosphere is generally collaborative, although it can vary based on the team's dynamics. The position may involve prolonged periods of sitting at a desk or standing, along with frequent computer use.

This requires proficiency in handling office equipment, such as printers, copiers, and telephones. Occasionally, the job may involve lifting light to moderately weighted items, such as office supplies or files. Additionally, travel and work outside of normal hours may be necessary for meetings, presentations, training sessions, and other events.

This job description is not intended to be a complete list of all responsibilities, duties or skills required for the job and is subject to review and change at any time, with or without notice, in accordance with the needs of The Centers.

The Centers is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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