Billing Ops Specialist

Billing Ops Specialist processes billing-related requests including insurance updates, demographic changes, eligibility reviews, adjustments, diagnosis updates, patient appeal requests, and other billing-related requests; coordinates government and third-party insurance submissions, account refunds, complex adjustments and collection inquiries; collaborates with internal areas of billing and external payers to resolve billing issues; proactively communicates escalated billing issues or trends to the billing management team; emphasizes accuracy and adherence to auditing standards, policies, and applicable regulations; requires strong verbal and written communication, knowledge of medical billing processes, and ability to work with high data volumes with minimal supervision.