Billing Specialist
Current• Analyzes claim payment and denial trends to evaluate, report on, and recommend improvements to current submission and reconsideration processes• Produces and maintains catalog of high-detail reports on insurance payer policies, communication channels, remittance trends, and fee schedules• Monitors incoming samples for prior authorization requirements. Processes prior authorization requests, coordinates with clinicians to acquire necessary supporting documentation, and communicates with insurance payers regarding prior authorization determinations