Billing & Claims Specialist I — Revenue Cycle Impact

Wellstar Health System, Inc.; New York (NY); Vor Ort; USD 42.000 - 65.000; Vollzeit

Zusammenfassung

Wellstar Health System, Inc. is seeking a Billing and Claims Specialist I to manage claim processes, ensure timely claim creation, and communicate with providers and payers.

This role handles paper and electronic submissions, edits, and denials while advancing process improvements to maximize revenue. The specialist will work with Epic EMR and the Change Healthcare clearinghouse, ensuring HIPAA compliance and data integrity.

Qualifikationen

• Minimum 1 year medical billing experience with payer knowledge.
• Experience with CPT and ICD-10 coding.
• Strong communication and customer service skills.

Aufgaben

• Prepares and submits clean claims to third party payers electronically or by paper.
• Researches and resolves claim submission edits and payer rejections.
• Works with clearinghouse, and follow-ups on claim status and eligibility.

Kenntnisse

Medical billing

CPT coding

ICD-10 coding

Communication skills

Time management

Analytical thinking

Ausbildung

High School Diploma

Tools

Epic EMR

Change Healthcare

Jobbeschreibung

Wellstar Health System, Inc. is seeking a Billing and Claims Specialist I to manage claim processes, ensure timely claim creation, and communicate with providers and payers.

This role handles paper and electronic submissions, edits, and denials while advancing process improvements to maximize revenue. The specialist will work with Epic EMR and the Change Healthcare clearinghouse, ensuring HIPAA compliance and data integrity.