Billing Specialist
America's ER Medical Centers, Shenandoah, TX, United States
Billing Specialist
The Billing Specialist is responsible for accurate and timely submission of medical claims, and follow-up with payers and patients. This role ensures compliance with HIPAA and payer regulations while supporting efficient revenue cycle operations.
Key Responsibilities
Prepare, review, and submit clean claims to insurance payers (CMS-1500 and/or UB-04)
Verify patient insurance eligibility and coverage
Ensure accuracy of patient demographics, charges, and modifiers
Submit claims electronically and track claim status
Research claim denials and rejections
Correct errors and resubmit claims in a timely manner
Prepare and submit appeals with supporting documentation
Generate and review patient statements
Respond to patient billing inquiries professionally and clearly
Maintain compliance with HIPAA Privacy and Security Rules
Protect the confidentiality of all patient information
Out of network billing preferred but not required
Knowledge of Federal and State guidelines regarding NSA and TDI claims
The Billing Specialist is responsible for accurate and timely submission of medical claims, and follow-up with payers and patients. This role ensures compliance with HIPAA and payer regulations while supporting efficient revenue cycle operations.
Key Responsibilities
Prepare, review, and submit clean claims to insurance payers (CMS-1500 and/or UB-04)
Verify patient insurance eligibility and coverage
Ensure accuracy of patient demographics, charges, and modifiers
Submit claims electronically and track claim status
Research claim denials and rejections
Correct errors and resubmit claims in a timely manner
Prepare and submit appeals with supporting documentation
Generate and review patient statements
Respond to patient billing inquiries professionally and clearly
Maintain compliance with HIPAA Privacy and Security Rules
Protect the confidentiality of all patient information
Out of network billing preferred but not required
Knowledge of Federal and State guidelines regarding NSA and TDI claims