Professional Billing Representative| Professional Billing, Full-Time

Ensures insurance claims are sent timely and accurately to government, commercial and managed care plans, adhering to payer timely filing requirements. Researches and resolves claim edits via Epic Work Queues (WQ) and/or external billing software, including electronic and paper processing. Prepares and processes secondary and tertiary insurance claims completing coordination of benefit tables accurately reflecting prior payer reimbursement. Ensures compliance and billing requirements for Worker’s Compensation (WC) and third-party liability claims are met. Ensures claims submission with all appropriate documentation, using the Release of Information (ROI) module in Health Information System (HIS).