Billing Specialist

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims. Responsibilities And Duties: Performs accurate review, analysis, and correction of denied and rejected claims. Performs follow-up on unpaid accounts to collect payment. Research correspondence and information from phone calls with payers to ensure accurate account handing. Reviews patient insurance information for accuracy making any necessary updates. Works closely with payer representatives to bring accounts to completion. Reports trends and payer issues to management. As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an