
Senior Billing Specialist
1 week ago
As a seasoned professional, you will be responsible for spearheading the billing process for GI procedures, Anesthesia, and Pathology. Your expertise in reading reports to calculate accurate anesthesia units, modifier usage, payment posting, claim follow-up, denial management, and efficient resolution of denied claims will be invaluable to our organization.
Key Responsibilities:
- Maintain sound knowledge of billable CPT and ICD codes for GI procedures, Anesthesia, and Pathology.
- Stay up-to-date with LCD and NCD policies for payers to ensure compliance with insurance guidelines.
- Evaluate and process claims, including eligibility verification and benefit coordination.
- Communicate effectively with insurance providers and patients to resolve claim-related issues.
Qualifications:
- Minimum graduation required.
- Proven experience in GI procedures, Anesthesia, and Pathology billing, payment posting, and follow-up.
- Strong knowledge of insurance processes, billing guidelines, and industry changes affecting claims.
- Excellent communication, problem-solving, and organizational skills.
- Proficiency in Excel.
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