Insurance Billing Specialist

The Insurance Billing Specialist submits hospital claims to multiple third-party payers, including Managed Care plans, Medicare, Medicaid, and specialty claims. The role involves coordinating documentation for billing, resolving claim-level edits and errors, and performing follow-up duties for re-billing, denials, adjustments, and collections. The specialist identifies billing issues, suggests process improvements, and communicates with service line departments and management to enhance the Revenue Cycle.