Billing Specialist

Maintain productivity and accuracy metrics per department expectations while working claim errors in the claims management system to ensure clean claims are submitted timely to insurance carriers. Review insurance rejections to determine next steps and obtain necessary information to resolve outstanding issues, then correct and identify billing errors before resubmitting claims. Verify patient demographic information and insurance eligibility, including coordination of benefits, to allow processing of claims to insurance plans. Assist in identifying and communicating trends or potential issues to the management team and maintain payer website user access. Manage system maintenance of Athena master files, including referring provider information and payer enrollments, and handle EDI, ERA, and EFT enrollments for all payers.