Savista logo
Savista

An end-to-end revenue cycle services provider serving healthcare organizations for over 30 years.

Billing Specialist

Billing SpecialistBilling SpecialistFull TimeRemoteJuniorTeam 1,001-5,000Since 1994H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

37 days ago

Salary

$17 - $19 / hour

Seniority

Junior

High School1 yr expEnglish

Job Description

• Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy • Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper 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 develop 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 • Enhance billing department and hospital reputation 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) • Follow guidelines for prioritization, timely filing deadlines, and notation protocols within 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 • Perform other related duties as required

Job Requirements

  • 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
  • Experience reading and utilizing EOB, 1500 and UB-O4 Forms
  • Knowledge of CD-10, CPT, HCPCS and NCC
  • Ability to utilize third-party billing guidelines
  • A minimum of 6 months experience of billing claim forms (UB04/1500)
  • Understanding payor contracts 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 Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools
  • Demonstrated success working both individually and in a team environment
  • Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter
  • Demonstrated ability to meet performance objectives.

Benefits

  • Health insurance
  • Retirement plans
  • Flexible work arrangements
  • Professional development

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