Medical Billing Specialist - Claims & Payer Follow-Up

LE01 Valley Children's Hospital; United States; On-site; USD 35,000 - 51,000; Full time

Job summary

Valley Children's Healthcare is seeking a dedicated insurance/billing specialist to review authorizations, manage claims, and submit them to payers. The role involves proactive follow-up on payments, processing contract adjustments, and billing secondary payers while adhering to established procedures.

Ideal candidates will have a High School Diploma or GED and at least one year of related experience in medical insurance authorization or billing, with preferred registration experience in a

Qualifications

• Education: High School Diploma/G.E.D. (required).
• Minimum one year experience in obtaining medical insurance/government authorization or medical insurance/government billing (required).
• Registration experience in physician practice, clinic/hospital care setting (preferred).

Responsibilities

• Review insurance/government authorizations, claims and submit claims to payers.
• Follow up on all accounts for payment and process contract adjustments.
• Bill secondary payers and follow established workflows and procedures.
• Utilize multiple office systems to complete daily tasks.

Education

High School Diploma/G.E.D.

Job description

Valley Children's Healthcare is seeking a dedicated insurance/billing specialist to review authorizations, manage claims, and submit them to payers. The role involves proactive follow-up on payments, processing contract adjustments, and billing secondary payers while adhering to established procedures.

Ideal candidates will have a High School Diploma or GED and at least one year of related experience in medical insurance authorization or billing, with preferred registration experience in a