Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codesPrioritize workflow to ensure timely claim submissionKnowledge of state and federal insurance regulationsAbility to analyze and problem solve complex issuesKnowledge of billing requirements, coverage and benefitsUphold Medicare, Medicaid and HIPAA guidelinesIdentifies and communicates documentation issue trendsUtilize various resources to locate insurance payers for ambulance transportationContact the hospital, patient’s family, and / or patient to obtain insurance informationFax partner hospitals requests for informationValidate and update patient demographics in the practice management systemResponsible for the accurate entry of data into the practice management systemThis position requires specialist to spend extended periods of time on the phone with insurance companiesReports quality and documentation issues to the department headQualifications :