Review/Update failed bills & claims on host system and within billing vendor
Work daily electronic submissions (or 277's) resolving claim issues
Monitor daily claims errors and resolutions providing recommendations on systems fix's going forward
Work daily late charges & rebills
Bill hardcopy claims attaching any needed documentation for payment
Pull EOB's and Medical Records as needed attaching to claims and mailing
Contact patients, insurance, any third party for insurance information or any additional billing data
Create training documents/tests
Train educate staff, providing testing
Work absentee staffing desk's

1 to 3 Years
High School Diploma, GED, or Equivalent Experience
Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid
2 years of an accredited degree or equal experience
Must also be CPB Certified
Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel
Must pass typing test of 35 words per minute (error adjusted)
Must be able to provide a mock training session for the interviewer (s)
Must be inquisitive and demonstrate openness to innovation including AI

Senior Billing Specialist

Key skills