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Claims Specialist

Atlanta, GA, United States

The Billing specialist is responsible for billing process for patients. Their duties include reviewing and posting charges daily, review and resolve clearinghouse rejections, review and correct any charges in the various ques within the EMR such as pending, pending with errors and clearinghouse rejected.

Major duties and responsibilities:

Ability to work individually and as a teamKnowledgeable in CPT AND ICD-10 assignments Review and update charges with correct insurance when applicableEnsure that any authorizations that are required are attached to the claim prior to billingWorking knowledge of insurances. Knowledgeable of payor denials, reason codes, polices and guidelines.Familiar with working with Electronic Medical Records and Clearing House claim rejections.Experience with all payors which includes Medicare, Managed Medicare, Medicaid and commercial.

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