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What does a certified billing specialist do?

By Zippia Team - Dec. 17, 2021

A certified billing specialist is an administrator who manages billing processes, most often for an insurance office or medical facility. A billing specialist's duties include managing medical billing for patients, updating patient information, generating invoices, and processing payments.

Certified billing specialists are needed to handle insurance and patient claims. They make sure that patients are billed properly, so medical professionals are paid for their services.

In the healthcare industry, medical coders apply industry-standard codes that relate to specific medical diagnoses, treatments, and procedures to patient health records. Certified billing specialists then take the coded information and submit the bill.

The certified billing specialist needs to review bills to make sure they are complete. And, if they are not complete, they will need to talk to the health professional to find the missing pieces. It is important to communicate so that the other party understands what pieces are missing and can efficiently give a billing specialist the necessary information.

What does a certified billing specialist do?

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