Hoag
SR BILLING SPECIALIST - REVENUE CYCLE OPERATIONS
This job is now closed
Job Description
- Req#: 117735
Salary Range: $21.0000 - $32.2900 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.
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.
Billing Specialist only
May also maintains 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.
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
Billing Specialist only
Experience in and knowledge of all medical billing protocols including HCPCS, ICD-10, and CPT codes as well as EMR system experience
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, CMS guidelines, COB guidelines, etc.), claims processing, code categories (CPT, ICD, etc.)
About the company
The Hoag Health Network consists of hospitals, urgent care & health care centers in Orange County. They are well known for superior patient care & convenient locations!
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