Billing Specialist managing Third-Party Payer billing and financial tracking. Resolving billing issues, processing claims, and maintaining compliance with insurance regulations while based in Green Bay, WI.
Responsibilities
Manages and executes all aspects of Third-Party Payer billing and financial tracking
Prepares and submits clean claims to Third Party Payers keeping within the expectations of the billing cycle to remain 7-10 days
Maintains information on billing procedures by client and by payer
Researches and resolves client billing issues with Third Party Payers
Performs various collection actions including review of claim denials
Follows all insurance policy and regulations
Performs daily follow-up of claims, including resolution of any billing errors
Processes rejections and denials to determine if the claim needs to be corrected and submits corrected claims if applicable
Requirements
High school diploma or equivalent
At least two years of previous medical insurance, billing, or claims processing related experience
Strong keyboarding and computer skills including MS Office (Word and Excel) experience at an intermediate level
10-key data entry proficiency
Knowledge of basic medical coding and third-party operating procedures and practices
Knowledge of HIPPA privacy and security rules and regulations
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