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Billing Specialist

Billing Specialist

American Family CareBirmingham, AL, US
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Job Description

Job Description

Department : | RCM | Supervises : | Sub-Department : | Corporate Support Center |

Reports To : | Billing Specialist | Date Completed : | 06 / 06 / 2025

General Position Description :

Ensure claim accuracy and high-quality customer service through review, correction, and resubmission of rejected and delinquent claims within timely filing limits.

Core Responsibilities :

  • Review all assigned Practice Management claim errors, determine the appropriate action, correct and file all claims with error status
  • Review all assigned Clearinghouse claim errors, determine the appropriate action, correct and file all claims with error status and note actions in patients chart
  • Review all assigned insurance payor rejections, determine the appropriate action, correct and re-file all rejected claims Review and maintain the Clearinghouse workgroup list, ensure the resubmission process is complete
  • Ensure that all claims within assigned receivables meet timely filing requirements
  • Assist management in identifying trends in rejection results with various insurance carriers
  • Maintain current knowledge of assigned insurance carriers rules and regulations both federal and commercial
  • Ensure that month-end goals are met in a timely manner
  • Work with clinic supervisors and staff to improve the capture and accuracy of demographic information as well as other information critical to claim processing and reimbursement
  • Observe safety and security procedures; promote a safe and pleasant work environment
  • Regular attendance to ensure efficient operations
  • Assist in questions from other departments concerning rejections

Other duties and responsibilities :

  • Other duties and responsibilities as assigned.

    • Qualifications :

  • High school graduate or equivalent.
  • Proven ability to work in a team environment.
  • Articulate communication skills and excellent customer service skills.
  • Computer knowledge, e.g., Microsoft Office. Accuracy and detail orientation with high level of productivity.
  • Familiarity with ICD-10, and CPT coding, as well as experience reviewing and understanding insurance EOBs is preferred.

    • Physical Demands / Work Conditions :

  • Office environment. Sitting and keyboarding for extended periods of time.
  • High attention to detail and ability to focus. Moderate noise level.
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    Billing Specialist • Birmingham, AL, US