Savista is on a mission to help clients in healthcare navigate challenges by delivering revenue cycle management solutions. As an employer, the company strives
Billing Specialist
Location
California
Posted
2 days ago
Salary
$16 - $22 / hour
Seniority
Mid Level
Job Description
Billing Specialist
Savista
• 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 • Serve and protect 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 • Utilize provider billing manuals to obtain billing guidelines and requirements • Import verification and escalation of import/export files • Special Handling billing included not limited to interim bills, overlap review, redistribution of money for correct claim creation • Resolve and research billing Rejections
Job Requirements
- 2+ years of medical collections/billing experience
- Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
- Intermediate knowledge of third-party billing guidelines
- Intermediate knowledge of billing claim forms (UB04/1500)
- Intermediate knowledge of payor contracts
- Working Knowledge of Microsoft Word and Excel
- Intermediate working knowledge of health information systems (i.e., EMR, Claim Scrubbers, Patient Accounting Systems, etc.)
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