Insurance billing specialist

The Insurance Billing Specialist is responsible for managing and processing insurance claims, ensuring accurate billing, timely reimbursement, and compliance with payer requirements. This role serves as a key link between patients, providers, and insurance companies to resolve billing issues and minimize claim denials.

Key Responsibilities

• Submit and follow up on insurance claims (commercial, Medicare, Medicaid, etc.)
• Verify patient insurance eligibility and benefits
• Review coding (CPT, ICD-10, HCPCS) for accuracy and compliance
• Identify, correct, and resubmit denied or rejected claims
• Post insurance payments and adjustments accurately
• Investigate underpayments and discrepancies
• Communicate with insurance carriers to resolve claim issues
• Maintain detailed billing records and documentation
• Ensure compliance with HIPAA and payer regulations
• Collaborate with front office, coding, and cli...