Insurance Billing Specialist

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Job description

• Client prefers qualified Insurance Billing Specialist candidates located near the Los Angeles, CA area to be considered

The Billing Specialist maintains current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly.

Minimum Education/Experience:

Minimum two (2) years' experience in medical insurance billing required (preferably in facility billing)

Soarian Financials experience required

Primary Accountabilities:

Support Soarian Financials Billing Edits and Billing Processes

Must-Haves:

Minimum of two (2) years of experience in medical insurance billing: Experience should ideally be in facility billing to ensure familiarity with the relevant processes.

Experience with Soarian Financials: Proficiency in supporting billing edits and processes within Soarian Financials is essential for this role.

Strong understanding of billing and coding guidelines: The candidate must have a solid grasp of billing and coding regulations for government and non-government payers to ensure claims are properly billed.

Experience in claim resolution: Ability to review and resolve claim edits efficiently, ensuring claims are submitted within the 48-72 hour timeframe.

Coordination and communication skills: The ability to work with multiple internal departments (Compliance, Collections, Audit, Customer Service, HIM, etc.) and act as a liaison between the Revenue Cycle areas and the billing agency to resolve claim issues.

Attention to detail and timeliness: Must demonstrate professionalism and efficiency in all aspects of claim submission, rebilling, and resolution processes.

Responsibilities:

Responsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers

Submits claims within 48 - 72 hrs. of creation date

Responsible for coordinating rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas

May serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits

Conducts all duties in a professional and timely manner

• Only those lawfully authorized to work in the designated country associated with the position will be considered.

• Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.

Benefits:

For information and details on employment benefits offered with this position, please visit here . Should you have any questions/concerns, please contact our HR Department via our secure website .

California Pay Equity:

For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here .

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department .

Rose International has an official agreement (ID ), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

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