Billing Specialist I

Billing Specialist I

Position Summary
The Billing Specialist I is responsible for supporting the revenue cycle process by ensuring accurate and timely billing activities. This role works within Epic to resolve claim-related issues, process account corrections, respond to customer service requests, and facilitate claim submission and reimbursement. The Billing Specialist I collaborates with internal departments, patients, and insurance payers to maintain billing accuracy and promote positive customer experiences.

Essential Functions

• Review and resolve claim edits in Epic to ensure accurate and timely claim submission.
• Process claim resubmission requests by researching errors, correcting information, and submitting claims as appropriate.
• Work account DNBs (Discharged Not Billed accounts) in Epic to identify and resolve billing holds and outstanding issues.
• Investigate and correct account discrepancies that impact the billing process.
• Respond to billing-related customer service requests from patients, providers, and internal departments in a professional and timely manner.
• Research insurance, demographic, and account information to support accurate billing and reimbursement.
• Maintain compliance with organizational policies, payer requirements, and regulatory guidelines.
• Document actions taken and account updates thoroughly within Epic.
• Prioritize work queues to meet productivity, quality, and turnaround time expectations.
• Collaborate with team members and other departments to resolve complex billing issues and improve workflow efficiency.