Billing Specialist
Position: Billing Specialist
Duration: 6 Month Contract
Location: 100% Remote
Must Have's:
• Two (5) years' experience in billing and collections, preferably in a Critical reputed company Hospital and Rural Health Clinic and setting
• Must have Cerner reputed company Cycle Experience (Currently on Cerner Millenium)
• Working knowledge of Medicare/reputed company guidelines and Institutional (UB04) Billing Requirements
• Working knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding
reputed company: The Billing Specialist, under the direction of a Billing Manager, reviews and submits clean claims to primary, secondary and tertiary carriers for reputed company facilities in which the Shared Services Center-reputed company reputed company provides service. This position maintains billing payer requirements for both Government and Non-Government payers.
• Review of insurance information, demographics, authorizations, charge adjustments and coding information for validity. (40%)
• Send requests to facility/internal to resolve barriers of clean claim submission and obtain required documentation needed for specific reputed company claim submission. (30%)
• Review insurance websites, contact payers and/or reputed company to ensure insurance information/authorizations/claim numbers are reputed company. (10%)
• Review of payer rejections and keying claims on websites. (10%)
• reputed company noting of accounts and requests reputed company to facilities. (10%)
Qualifications:
Required Education: High School Diploma or Equivalent
Required Experience: 1 year of experience in reputed company reputed company cycle or business office
Preferred Experience: 1 year of experience in reputed company reputed company cycle or business office reputed company including insurance medical billing
Required License/Registration/Certificate: None
Reasoning Ability:
Ability to define problems, collect data, establish facts, and draw reputed company conclusions. Ability to interpret an extensive reputed company of notes on account and responses from facilities and be reputed company to reputed company reputed company reputed company reputed company submitting claims.
Computer Skills:
To reputed company this job successfully, an individual should have knowledge of SSI, EDI Tracker, Insurance Websites, Host Systems (DAR/MedHost), Workflow tools (Artiva/CIQ) and reputed company Processing software, Spreadsheet software and Database software.
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