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Job Summary The Billing Specialist is responsible for accurate and timely submission of medical claims, and follow-up with payers and patients. This role ensures compliance with HIPAA and payer regulations while supporting efficient revenue cycle operations. Key Responsibilities · Prepare, review, and submit clean claims to insurance payers (CMS-1500 and/or UB-04) · Verify patient insurance eligibility and coverage · Ensure accuracy of patient demographics, charges, and modifiers · Submit claims electronically and track claim status · Research claim denials and rejections · Correct errors and resubmit claims in a timely manner · Prepare and submit appeals with supporting documentation · Generate and review patient statements · Respond to patient billing inquiries professionally and clearly · Maintain compliance with HIPAA Privacy and Security Rules · Protect the confidentiality of all patient information · Out of network billing preferred but not required · Knowledge of Federal and State guidelines regarding NSA and TDI claims