Opportunity Description
Description We are seeking a Claims Billing Specialist to support hospital revenue cycle operations. This position is 100% on site and will begin immediately. The hours for this position are 8:30am - 5pm. This role is responsible for the timely and accurate submission of insurance claims, resolution of claim edits, and coordination with internal departments to ensure clean claims and timely reimbursement.
Key Responsibilities
Review and submit hospital claims to third‑party payers
Resolve claim edits generated by EHR and clearinghouse systems
Reconcile claim acceptance and rejection reports
Maintain assigned work queues to meet productivity and quality standards
Ensure compliance with payer requirements and billing regulations
Coordinate with internal departments to resolve missing or incorrect claim information
Document claim activity and follow‑up in billing systems
Apply payer‑specific billing rules and reimbursement guidelines
Qualification...
Key Responsibilities
Review and submit hospital claims to third‑party payers
Resolve claim edits generated by EHR and clearinghouse systems
Reconcile claim acceptance and rejection reports
Maintain assigned work queues to meet productivity and quality standards
Ensure compliance with payer requirements and billing regulations
Coordinate with internal departments to resolve missing or incorrect claim information
Document claim activity and follow‑up in billing systems
Apply payer‑specific billing rules and reimbursement guidelines
Qualification...
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