Billing SpecialistTemporary
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Job Location:
Irvine, CA - USA
Hourly Salary:
USD 22 - 24
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
AIM OF THE POSITION
The purpose for this position is for an individual to prepare process maintain and manage all aspects related to Billing including benefit and eligibility verification Order Entry QC primary billing and proper documentation.
POSITION WITHIN THE ORGANIZATION
1. Customer Care Sales Commercial and external vendors
2. Cooperates with all departments across the organization
ESSENTIAL DUTIES AND RESPONSIBILITIES
Primary Billing
QC of order entry in SFDC orders as well as payor selections
Data entry and transfer daily to the Billing System
Generate charges and electronic claims and print paper claims for various payors requiring paper claim submission
Utilize Sales Force for tasks and logging calls and follow-up to assigned collectors prior -authorizations or Patient Care Specialist.
Manage interface errors and upfront claim rejections
Perform other related duties as required or assigned such as overflow work including word processing data entry and internet research tasks
Interface with insurance company representatives doctors offices and hospitals regarding the obtainment of medical records patient demographic and insurance information and ICD-10 codes.
Verification of eligibility and medical benefits utilizing appropriate site or vendor and enter benefit detail in Sales Force.
Ensure in verification of coverage criteria depending on payer policy and interact with Customer Care if anything is needed for coverage verification.
Utilizes strong analytical skills including data compilation and attention to detail needed to prepare charges identify criteria for testing and the ability to request missing information that could hinder a successful claims submission
Uses the chain of command to escalate problems or situations requiring administrative intervention and notifies the Reimbursement Supervisor or Manager when appropriate.
Reviews pathology reports and extracts data to determine coverage criteria based on payer policy.
Maintain client relationships as it pertains to Benefit and Eligibility duties and contacting patient when requested.
Assists in the development of new procedures and systems to enhance productivity.
Works directly with Reimbursement Supervisor Manager and Director to address and resolve any issues that may affect the Reimbursement Department as a whole.
Interacts with the Customer Care team to resolve any tasks and issues that can prevent an order from processing and billing.
The above listing represents the general duties considered essential functions of the job and is not to be considered a detailed description of all the work requirements that may be inherent in the position.
KEY CONTACTS
Internal: This position may interface with all departments within the company.
External: External Vendors
EDUCATION AND EXPERIENCE REQUIREMENTS
EDUCATION
Education:
High School diploma or general education degree
3 years related experience preferable
Medical Billing Certification or work experience equivalency
Certificates and License Requirements:
CPT and ICD-10 knowledge
KNOWLEDGE SKILLS AND ABILITIES (KSAS)
Specific Knowledge Required:
Knowledge: Comprehension of a body of information acquired by experience or study.
Skill: A present observable competence to perform a learned activity.
Ability: Competence to perform an observable behavior.
Advanced technical knowledge of Microsoft products required (Excel Word Outlook)
Must be able to work in a fast-paced environment
Must have strong organizational skills and attention to detail
High degree of accuracy
Manage Multiple tasks independently
General accounting and math skills
Excellent problem resolution
BEHAVIOURAL COMPETENCIES/DESIRED SKILLS
Excellent customer service skills
Outside the Box thinker
Other Skills necessary: Analytical thinking thoroughness good research skills and strong verbal/written communication
Ability to read and extract information from a path report
PRIVACY NOTICE: To review the California privacy notice click here: Employees must not be classified as an excluded individual who is prohibited from participation in any Federal health care program.
WORKING ENVIRONMENT
Establishes ADA (Americans with Disabilities Act) requirements
ENVIRONMENT/SAFETY/WORK CONDITIONS
Working conditions (inside or outside the office)
General office environment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Maintains a clean neat and orderly work area.
Adheres to Department Specific Safety Guidelines.
Standing sitting walking bending reaching manual manipulation and lifting up to 15 pounds.
TRAVEL
No travel is required
OTHER DUTIES
Other duties as required by management
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
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