Biller Denial Management Specialist

Job Title

Billing Claims Specialist

Job Description

POSITION SUMMARY

The position bills claims to HMO's, Blue Cross Plans, Medical Assistance, and Medicare using standard hospital UB04's and 1500 forms through electronic claim transmission and paper in HIPPA compliant format. Reviews registrations for complete information obtained by registration to ensure accurate billing. Reviews all claims for accurate departmental charges before billing. Contacts insurance companies by telephone and internet for up to date billing procedures. Contacts physician's offices by telephone for billing information. Performs a variety of duties relating to interfacing with insurance professionals (Hospital Insurance Provider Representatives) and other departments within the Medical Center. Performs a variety of duties relating to the processing of data for billing purposes.

Minimum Requirements

Education:

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