Billing Specialist Agent

An Billing Specialist is responsible for preparing, processing, and managing insurance claims to ensure accurate and timely reimbursement. The role involves reviewing billing information, verifying insurance coverage, and coordinating with insurance providers to resolve claim issues while maintaining compliance with policies and regulations. Key Responsibilities Prepare, review, and submit insurance claims accurately and in a timely manner Verify patient or client insurance eligibility, coverage, and benefits Review billing codes, charges, and documentation for accuracy and compliance Follow up on unpaid, denied, or underpaid claims with insurance companies Resolve billing discrepancies and respond to insurance inquiries Maintain accurate billing records and update patient or client accounts Ensure compliance with insurance guidelines, company policies, and regulatory requirements Communicate effectively with clients, patients, healthcare providers, or insurance representatives Assist with audits, reports, and billing reconciliations Qualifications High school diploma or equivalent; college degree in healthcare administration, business, or a related field is an advantage Experience in insurance billing, medical billing, or claims processing preferred Knowledge of insurance policies, billing procedures, and claim submission processes Familiarity with billing systems, electronic health records (EHR), or insurance portals Strong attention to detail and organizational skills Good communication and problem-solving abilities Ability to work independently and meet deadlines