The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
Job Summary
The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).
The Billing Specialist job description is intended to point out major responsibilities within the role, but it is not limited to these items.
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care.
Matching Summary
The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).
Skills & Requirements
Must-have
validate super bill/claim accuracy
assign/remove CPT, HCPCS, modifiers
review claims prior to submission
check insurance payment accuracy
ensure compliance with payer guidelines
Nice-to-have
identify coding trends for improvement
transforming healthcare experience
Key Requirements
Minimum of 1 year of experience as a medical biller
High school diploma or GED equivalent
Knowledge of insurance guidelines (HMO/PPO, Medicare, Medicaid)
Knowledge of CPT, ICD-10-CM, and HCPCS codes
Knowledge of coding and billing principles
Knowledge of federal, state, and payer-specific regulations