Billing and Claims Specialist II

A company is looking for a Billing and Claims Specialist II. Key Responsibilities Manage claim processes, including accurate claim creation and follow-up with providers and insurance inquiries Analyze and resolve claim submission edits and payer rejections, ensuring compliance with coding guidelines and regulations Assist in training new team members and support process improvements while maintaining documentation standards Required Qualifications High school diploma or equivalent required; Bachelor's degree preferred Certified Revenue Cycle Representative certification required upon hire Minimum of 3 years of medical billing experience, including knowledge of Medicare, Medicaid, and commercial insurance Working knowledge of CPT and ICD-10 coding systems required Experience with medical billing and collection practices is essential

Apr 4, 2025 - 19:14

A company is looking for a Billing and Claims Specialist II. Key Responsibilities Manage claim processes, including accurate claim creation and follow-up with providers and insurance inquiries Analyze and resolve claim submission edits and payer rejections, ensuring compliance with coding guidelines and regulations Assist in training new team members and support process improvements while maintaining documentation standards Required Qualifications High school diploma or equivalent required; Bachelor's degree preferred Certified Revenue Cycle Representative certification required upon hire Minimum of 3 years of medical billing experience, including knowledge of Medicare, Medicaid, and commercial insurance Working knowledge of CPT and ICD-10 coding systems required Experience with medical billing and collection practices is essential