Clinical Billing Specialist

A company is looking for a Clinical Billing Specialist to support the Care Management department.

Key Responsibilities

Appeal payer denials and coordinate payor audits

Assist in monitoring and developing process improvement initiatives for regulatory compliance

Support patient inquiries requiring clinical review of bills and maintain department productivity levels

Required Qualifications

5 years of varied nursing experience, with a minimum of 3 years in a healthcare financial environment preferred

B.S. degree in a healthcare-related field or Business Administration is preferred

2-5 years of patient account experience preferred

Familiarity with the Medipac system and PC software preferred

Knowledge of CPT-4 and revenue coding is strongly preferred