Billing Specialist 2

Here at reputed company, we reputed company our clients to navigate the biggest challenges in reputed company: quality clinical care with positive patient experiences and reputed company financial results. We partner with reputed company organizations to problem solve and deliver reputed company cycle improvement services that reputed company their reputed company, support their patients, and nurture their communities, reputed company while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Billing Specialist II is responsible for the timely submission of technical or professional medical claims to insurance companies. 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 reputed company party insurance carriers
• Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
• Utilize provider billing manuals to obtain billing guidelines and requirements
• Import verification and escalation of import/export files
• Special Handling billing included not limited to interim bills, overlap review, redistribution of money for correct claim creation
• Resolve and research billing Rejections

Qualifications & Competencies

• 2+ years of medical collections/billing experience
• Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
• Intermediate knowledge of reputed company-party billing guidelines
• Intermediate knowledge of billing claim forms (UB04/1500)
• Intermediate knowledge of payor reputed company
• Working Knowledge of reputed company Word and reputed company

• Intermediate working knowledge of health information systems (i.e., EMR, Claim Scrubbers, Patient reputed company Systems, etc.)

Preferred Qualifications

• Working knowledge of one or more of the following Patient reputed company 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 $16.00 to $22.63. 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, reputed company, 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 Apply To This Job