Billing Specialist (Denials)

Billing Specialist- Denials

Location: Silver Spring, MD

Full Job Description

As a Denials Specialist, you will:

• Verifies and corrects insurance information, charges and coding issues for electronic claims and manual corporate billing.

• Ensures that all billing guidelines are followed per the payer billing requirements.

• Contacts insurance companies regarding status of appeals.

• Daily reconciliation and elimination of billing backlogs.

• Follow-up on payment errors, low reimbursement, denials, etc.

• Review EOBs and initiate appeals as necessary.

• Responsible for taking and resolving patient billing calls and inquiries.

• Perform timely insurance follow-up, handling self-pay account collection and resolving denials.

• Work denial reports to determine denial reasons; identify root cause of denials; recommend changes to reduce denials

Qualifications include:

• High School Diploma or GED required

• 2+ years of medical billing experience

• Experience with Electronic Health Records Software

• Certified medical coder preferred

• Covid-19 Vaccination

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