Billing Specialist I

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Job description

Billing Specialist I

Location: Costa Mesa, CA

Duration: 3 months

Description:

The Claims Billing Specialist is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date.

Ensures accuracy, reports issues and works to resolve. Ensures compliance and regulatory guidelines and health plan requirements are met.

Documents actions taken following HIPAA guidelines.

May assist in providing customer service, member services, and others in working with providers/billing offices when needed.

Performs other duties as assigned.

Candidates must have medical billing experience, preferably in hospital setting.

Billing Specialist only

May also maintain databases, audit information and works with patients to process patient payment.

May follow up with insurance companies on outstanding or unpaid claims, create/send statements to patients.

Skills:

Proficient in Microsoft Word, Excel, Typing/Data Entry

Experience in and knowledge of all medical billing protocols including HCPCS, ICD-10, and CPT codes as well as EMR system experience.

Education:

High School Diploma or equivalent, 1+ years of experience in medical claims/billing

Languages:

English Read Write Speak

Skills Required:

Claims

CPT

Billing

Hipaa

Icd

Additional Skills:

Emr

Medical claims

Audit

Retail sales

Typing

Excel

Data entry

Customer service oriented

Microsoft word

Minimum Degree Required:

Completed High School (Diploma or GED)

Job Knowledge, Skills, and Competencies.

Diversity

Interpersonal Skills

Job Knowledge

Oral/Written Communication

Technology & Equipment Skills

Organization Behavioral Competencies

Business acumen

Customer satisfaction

Innovation

Trust & accountability

Education and Experience:

Required:

High School Diploma or equivalent, 1+ years of experience in medical claims/billing

Proficient in Microsoft Word, Excel, Typing/Data Entry

Preferred:

Claims Specialist only

Experience with Epic Tapestry CRM system and in claims adjudication; Working knowledge of regulatory guidelines in managed care (Title 22, AB1455, AB1203, AB1324, AB72, CM5 guidelines, COB guidelines, etc.), claims processing, code categories (CPT, ICD, etc.)

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