Rev Cycle SBU Billing Specialist

OverviewThe Revenue Cycle Account Billing Specialist manages the accounts receivable in accordance with compliance regulatory and billing guidelines and specific payer rules. Responsible for the accurate billing of insurance claims by validating coverage and resolving charge review edits, claim edits and front end clearinghouse and payer rejections. Responsible for verifying accuracy of all billing requirements that are obtained in order to confirm work orders, obtain prior authorizations, process and post self-pay payments, submit claims and identify and resolve billing errors. Responsible for creating and uploading statement files, as well as working any incorrect address rejections. In addition, prepares accounts for bad debt. Accountable for Carle Financial Assistance Program (CFAP) set up and review of account and adjustment requests. Other duties include follow up on outstanding receivables through activities such as basic appeals, answering, documenting and completing inquiries