Healthcare Billing Claims Specialist

Role Overview

• Provides billing support for the Sandstone Care billing team. Responsible for inputting data into multiple systems related to client information, insurance information, attendance and coding for services rendered.
• Coordinates with billing team to immediately resolve billing inconsistencies and delinquent data.
• Responsible for verification of benefits, billing data, claims submission, claim corrections, claim re-submissions, claim follow up and appeals.
• Navigate insurance payer phone trees and obtain valid information.
• Generates revenue by making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts.
• Presents ideas and collaborates with billing team about billing practices and methods to increase revenue.

Requirements

• High school diploma/GED required, prefer Bachelors Degree;
• Coding certificate or associates degree in business administration or health care administration highly preferred
• Must have previous experience in a healthcare setting
• Must have previous experience with CPT and ICD-10
• Must have solid PC and application skills
• The ability to handle a very high volume of work with speed and accuracy is essential
• Proven ability in collections and negotiation is highly preferred
• Must have the ability to understand and apply contract language to billing