Billing Specialist

Billing Representative

We are looking for an experienced Billing Representative to join our team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a long-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.

Responsibilities :

• Prepare and submit claims to various insurance payers, including Medicare, Medicaid, and commercial providers, ensuring accuracy and compliance.
• Investigate rejected claims, identify root causes, and implement corrective actions to resolve issues efficiently.
• Monitor and analyze claim rejection trends to improve processes and reduce recurrence across payers and service areas.
• Coordinate with internal teams and external entities to validate billing information and implement necessary coding updates.
• Maintain detailed records of claim investigations, resolutions, and follow-up activities to ensure transparency and accountability.
• Adhere to organizational compliance standards and industry regulations in all billing activities.
• Achieve or exceed daily production and quality metrics by managing worklists effectively.
• Participate in additional assigned tasks and responsibilities as needed to support departmental goals.

Requirements :