Billing Specialist

Riverview Health; Noblesville (IN); On-site; USD 42,000 - 60,000; Full time

Job summary

Riverview Health in Noblesville, IN seeks a billing specialist to prepare and submit claims, analyze edits, and ensure clean submissions. The role requires 1 year or more in insurance balances and strong knowledge of CPT/ICD-10, modifiers, and payer rules.

Proficiency with Epic EMR is preferred, with opportunities to resolve rejections and support timely reimbursement. The position emphasizes accurate billing, proactive communication, and adherence to workflow standards within a hospital billing

Qualifications

• High school diploma or GED required.
• Minimum 1 year of experience working with insurance balances in a business office or similar role.
• Preferred: Two (2) years of billing experience working in Epic EMR.
• Review charges and verify appropriate usage of modifiers, CPT codes and ICD-10 codes prior to billing.
• Research payer-specific billing rules including CCI edits.

Responsibilities

• Prepare and submit claims to assigned insurance companies.
• Analyze, correct, and resolve claims edits promptly and accurately to ensure clean claims.
• Review charges and verify modifiers, CPT codes and ICD-10 codes prior to billing.
• Research payer-specific billing and reimbursement rules including CCI edits.
• Resolve clearinghouse rejections and errors.
• Work in Epic EMR to make all claims corrections and resubmits.
• Monitor claim edit work queues to ensure timely submission.
• Proactively communicate problems or issues for continuous workflow.
• Other duties as assigned.

Skills

Billing processes

Claims processing

Education

High school diploma or GED

Tools

Epic EMR

Job description

• Prepare and submit claims to assigned insurance companies
• Analyze, correct, and resolve claims edits related to billing, charging, and registration errors promptly and accurately to ensure clean claims are submitted in a timely manner.
• Review charges and verify appropriate usage of modifiers, CPT codes and ICD-10 codes prior to billing.
• Research, as necessary, any payer-specific billing and reimbursement rules, including but not limited to Correct Coding Initiative (CCI) edits.
• Resolve clearinghouse rejections and errors.
• Works in Epic EMR to make all claims corrections and resubmits claims when appropriate.
• Monitors claim edit work queues to ensure claims are resolved and submitted within 24 hours.
• Proactively communicates problems or issues in a timely manner for continuous workflow.
• Other duties as assigned.

Education Requirements

• High school diploma or GED

Experience Requirements

• Minimum: One (1) year of experience working with insurance balances in a business office or similar role.
• Preferred: Two (2) years of billing experience working in Epic EMR

License/Certification Requirements

• None

Preferred

GED or better in General Business.

High School or better in General Business.

Equal Opportunity Employer
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