Temp - Administrative - Billing Specialist Coos Bay OR

OPENED FOR A PREDETERMINED CANDIDATE

Responsible for timely and accurate billing of insurance claims for assigned payers according to regulatory and payer requirements. Resolve billing edits to submit clean claims for all benefit orders. Monitors & resolves Medicare claims in Direct Data Entry (DDE) including claim corrections claim cancellations and checking claims payment status. Monitors and resolves rejected claims timely. Identifies & reports ongoing charge and/or coding issues. Responsible for claim followup as assigned.

SKILLS AND ABILITIES

• Demonstrates working knowledge of American National Standards Institute (ANSI) edits National Correct Coding Institute (CCI) edits Medically Unlikely Edits (MUE) and other regulatory and/or payer specific billing requirements
• Demonstrates working knowledge of 837i and 837p claim formats as well as UB04 and 1500 professional billing requirements
• Familiar with CPT HCPCS revenue codes and ICD10 coding requirements
• Demonstrates understanding of payer credentialing requirements
• Organizational skills that promote the ability to work well without direct supervision manage time effectively and appropriately prioritize multiple assignments to meet project timelines.
• Effective collaboration and communication with a variety of individuals both internal and external including multidisciplinary teams.
• Ensures recommendations support adherence to all federal state and other regulatory requirements.
• Demonstrates the ability to analyze and solve complex system problems and ability to prioritize manage and implement complex projects
• Effective and professional communication skills both in verbal and written
• Exhibits the ability to maintain confidentiality think and act independently with minimal supervision
• Ability to use initiative and judgment skills in carrying out responsibilities
• Flexibility in job schedule to provide user support and advance project goals.
• Maintain regular consistent and punctual attendance at the assigned job location
• Demonstrates the ability to use a personal computer office equipment and various software programs applicable to the position

Requirement description :

• Minimum of one year of experience in medical business office
• Minimal knowledge of hospital and collection process in hospital and/or medical office setting
• Experience with EPIC Soarian EDMMS4 ADT claims MIRA DSG SSI Experian Craneware or other revenue cycle billing experience preferred
• Experience with 837i and or 837p and HIPAA transaction sets such as CPTHCPCS revenue codes ICD9 and ICD10 CARC (Claim Adjustment Reason Code) or CAS (Claim Adjustment Segment) codes preferred
• Experience in Excel Word and Power Point preferred