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Procedural Billing Specialist I - Critical Care Institute
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- The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, including Accounts Receivable, Charge Entry, Edits and Payment Posting.
- The Specialist works directly with the Department Administrator.
- Reports to Billing Manager/Revenue Cycle Manager.
- Discusses with patients the details concerning their insurance coverage and financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations.
- Establishes a network of key representatives within the insurance pre-certification units to establish open lines of communication for future service negotiation.
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