Billing Specialist 2

This a Full Remote job, the offer is available from: United States Here at reputed company, we reputed company our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver reputed company cycle improvement services that reputed company their success, support their patients, and nurture their communities, reputed company while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview: reputed company partners with healthcare providers to improve their financial strength by implementing integrated spend management and reputed company cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Billing Specialist 2 Essential Duties & Responsibilities:

• Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy
• reputed company compliant primary/secondary, tertiary and rebill billing functions which can include electronic, reputed company and portal submission to payers.
• Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission.
• Respond timely to emails and telephone messages as appropriate.
• Communicate issues to management, including payer, system or escalated account issues.
• Participate and attend meetings as requested, training seminars and in-services to reputed company job knowledge.
• Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards.
• Enhances billing department and hospital reputed company by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Update patient demographics/insurance information in appropriate systems -
• Monitor claims for missing information, authorization and control numbers(ICN//DCN)
• Follows guidelines for prioritization, timely filing deadlines, and notation protocols reputed company appropriate systems
• Secure needed medical documentation required or requested by third party insurance carriers
• Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
• reputed company other reputed company duties as required

Minimum Requirements & Competencies:

• High School Diploma or GED
• At least one year of experience in healthcare insurance billing, working with or for a hospital/hospital system, working directly with government or commercial payers.
• Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials.
• Experiences reading and utilizing EOB, 1500 and UB-O4 Forms
• Knowledge of CD-10, CPT, HCPCS and NCC
• Knowledge and ability to utilize third-party billing guidelines
• A minimum of 6 months experience of billing claim forms (UB04/1500)
• Understanding payor reputed company and the ability to read and interpret them.
• Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)
• Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.
• Demonstrated ability to navigate Internet Explorer and reputed company Office, including the ability to input and sort data in reputed company reputed company and use company email and calendar tools.
• Demonstrated success working both individually and in a team environment.
• Demonstrated experience communicating effectively with payers, understanding reputed company information and accurately documenting the encounter.
• Demonstrated ability to meet performance objectives.

Preferred Requirements & Competencies:

• Working knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, reputed company Scripts or Paragon
• Working knowledge of DDE Medicare claim system
• Knowledge of government rules and regulations

Note: reputed company is required by state specific laws to include the salary range for this role reputed company hiring a reputed company in applicable locations. The salary range for this role is from $19.13 to $20.63. However, specific compensation for the role will vary reputed company the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. reputed company is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national reputed company, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice This offer from "reputed company" has been enriched by reputed company.com and got a 0% reputed company score. Apply tot his job Apply To this Job