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Billing Specialist- Full- time- Remote

HOPCo · Phoenix, Arizona, US

- Responsible for working claim errors in claims management system ensuring clean claims are submitted timely to insurance carriers. - Review and prepare cla...

Job description

- Responsible for working claim errors in claims management system ensuring clean claims are submitted timely to insurance carriers. - Review and prepare claims for manual and/or electronic billing submission. - Reviews insurance rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding rejections. - Correct and identify billing errors and resubmit claims to insurance carriers. - Update CAS segments on secondary electronic claims as needed. - Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. - Verifies receipt of claim with insurance plans, determining the next appropriate action step. - Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients. - Obtains and attaches referrals to appointments/charges. - Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals. - Identifies and communicates trends and/or potential issues...