Job Description

Medical Billing Specialist
We are seeking a detail-oriented Medical Biller to support revenue cycle operations by managing billing and denial work queues within Epic. This position is responsible for researching and resolving insurance claim denials, making appropriate claim corrections, obtaining necessary documentation, and ensuring timely claim resubmissions. The ideal candidate will have experience working insurance denial work queues, a strong understanding of payer guidelines, and the ability to work independently in a high-volume healthcare environment.
Key Responsibilities

+ Work assigned denial and billing work queues daily.

+ Investigate insurance claim denials and determine appropriate resolution steps.

+ Obtain supporting clinical documentation when required for claim correction and resubmission.

+ Apply claim corrections, including modifiers when appropriate.

+ Resubmit denied claims and monitor claim status through resolu...

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