Billing Specialist I

Billing Specialist

• Review, correct, and resolve claim edits in Epic to ensure clean claim submission
• Process claim resubmission requests, including corrections and documentation, in Epic
• Manage and work accounts with DNB/DNFB statuses to prevent billing delays
• Respond to billing customer service requests from patients, payers, and internal teams
• Research billing discrepancies and ensure compliance with payer and regulatory requirements
• Maintain accurate documentation and follow established billing workflows

• Experience working with Epic billing modules preferred
• Knowledge of medical billing processes and insurance claim workflows
• Strong attention to detail and problem-solving skills
• Effective communication and customer service abilities
• Ability to manage multiple tasks in a fast-paced environment
• Education: High School or GED required.
• Experience: Work experience in medical billing or hospital coding, claims processor– preferably medical claims for an insurance carrier, or Clerical/Billing experience in a medical office, required.
• Licensure/Certification/Registration: Certified Medical Billing/Coding, preferred.
  
• Additional Skills Required:
  • Excellent communication skills requiredAbility to successfully complete generic and department specific skills validation and competency testing.
  • Must display excellent customer service skills and excellent computer skills.Must be able to multi-task and be a team player.
  • Must be able to work overtime as required.
  • Must be self motivated, able to work independently without constant supervision and a critical thinker.
  • Must be flexible, able to meet deadlines and adaptable to change.
  • Ability to communicate effectively and professionally.
  • Detail oriented and strong organizational skills.
  • Aware of HIPAA laws.
  • Familiar with Microsoft Office Applications.Must be able to manage your time with tasks assigned.
• Additional Skills Preferred:
  • Basic medical terminology.
  • Insurance guidelines.