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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