Billing Specialist
On-siteHouston, Texas, United States
Job Summary
Accurately process insurance claims, prompt pay, and client billing for pathology procedures. Collect and post payments from multiple sources while documenting all transactions. Verify eligibility and coordinate benefits to ensure clean claim submission. Scrub new claims and resubmissions for coding accuracy based on payer, rendering provider, and billing group. Work assigned and unassigned denials timely, following up on unpaid claims by contacting payers or using online portals. Identify trends in denials and payment issues to communicate with management and resolve problems to assure payment. Research, document, and resolve issues while interacting with insurance companies, clients, and patients to support the payment process.
Required Qualifications
- High School Diploma or GED
- Two years in billing/coding experience within the last five years
- Accurate 10-key ability
- Knowledge of EOBs, CPT & ICD-10 codes, HCFAs, CMS1500, HCPCS
- Experience in researching denials and how to resolve for payment
- Knowledge of government and commercial insurance billing, appeals, and prior authorization
Desired Qualifications
- Certificate in healthcare billing
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