1 jobs found in Bethany

Job Purpose The Billing Specialist is responsible for the accurate and timely billing of inpatient services; as well as outpatient clinic services across multiple specialties, including therapy, medical, and ancillary services. This role ensures claims are coded, validated, and submitted in compliance with payer-specific rules, with a strong focus on high-volume outpatient encounters, denial prevention, and revenue cycle optimization. While supporting overall billing operations, this position is primarily focused on outpatient workflows and payer requirements. Duty Percent of Time Primary Outpatient Billing Functions Prepare, review, and submit outpatient clinic claims for multiple service lines (therapy, medical visits, ancillary services) Prepare, review and submit inpatient claims. Ensure accurate claim creation based on CPT/HCPCS codes, modifiers, and visit documentation. Validate claims against payer-specific rules, authorization requirements, and...