Billing Support Specialist - job 1 of 6

Job Summary

A company is looking for a Billing Support Specialist II - Payor Relations.

Key Responsibilities

• Review and analyze claims data to identify trends in submissions, denials, and payments
• Research payor-specific processes and communicate with healthcare providers and insurance representatives
• Collaborate with clinical teams and submit required documentation to payors and clients

Required Qualifications, Training, and Education

• 3-5 years of experience in laboratory billing with major insurance plans, Medicaid, and Medicare
• Strong understanding of insurance policies, healthcare regulations, and medical terminology
• Knowledge of industry regulations, including HIPAA
• Experience with Xifin is a plus
• Proficiency in Microsoft Office Suite for reporting and documentation