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Billing Specialist

Cleveland Clinic

This is a Full-time position in BEDFORD, OH posted June 11, 2021.

Responsibilities:

  • Prepares insurance claims for submission to all third party payers and/or responsible parties.
  • Reviews claims for accuracy, including proper diagnosis and procedure codes.
  • Reviews claim rejections and communicates with payers to resolve billing issues.
  • Prepares and reviews routine billing reports to ensure timely and accurate billing activity.
  • Recommends process improvements based on findings.
  • Other duties as assigned.

Education:

  • High School Diploma or equivalent.
  • Courses in Medical Terminology and basic understanding of billing process is preferred.

Certifications:

  • None required.

Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.

Work Experience:

  • One year of previous experience in similar capacity is preferred.

Physical Requirements:

  • Must have dexterity to perform computer functions.
  • Must be able to lift material weighing up to 50 pounds.
  • Must be able to perform duties while sitting, standing, walking, stooping and lifting.

Personal Protective Equipment:

  • Follows standard precautions using personal protective equipment as required.