Job Details

The Billing Specialist manages the full scope of billing and claims processing for all contracted commercial and/or Workers Compensation payers. Initiates billing of primary and secondary claims for all Commercial and Workers' Compensation claims and resolves any rejected claims and rebills as needed. Reports and follows up on any registration and/or coding errors in order to timely process claims. Works closely with PFS Supervisor to timely resolve any outstanding commercial and Worker's Compensation billing and/or claim issues. Responsibilities Bills all primary and secondary Commercial and/or Worker's Compensation claims on the electronic billing system, or print- to-paper if appropriate. Ensures that billing edits reflect compliant billing practices. Reviews claims for accuracy and completeness and provides documentation required for complete billing. Maintains current knowledge of Uniform Billing (UB) forms and CPT, HCPC, ICD 10 codes and modifiers. Resolves rejected claims and pe...Billing Specialist, Billing, Specialist, Workers Compensation, Per Diem, Claims, Healthcare