Billing Specialist I (PB Medical Billing)

Savista•Remote - MD, MD

4d•$18 - $21

About The Position

Savista partners with healthcare organizations to provide revenue cycle improvement services. The medical biller is responsible for the timely submission of technical or professional medical claims to insurance companies. This role involves utilizing various hospital/physician systems to verify patient, billing, and claim information for accuracy, performing compliant billing functions (electronic, paper, and portal submission), and editing claims to meet compliance guidelines. The position also requires timely responses to communications, escalating issues to management, and participating in training to enhance job knowledge. The Billing Specialist will serve and protect the hospital community by adhering to professional standards, policies, and requirements, and will enhance the department's reputation by taking ownership of tasks and seeking opportunities to add value. Responsibilities include updating patient demographics/insurance information, monitoring claims for missing information and authorizations, following guidelines for prioritization and timely filing, securing necessary medical documentation, and maintaining patient information confidentiality.

Requirements

1-2 years of medical collections/billing experience
Basic knowledge of ICD-10, CPT, HCPCS and NCCI
Basic knowledge of third-party billing guidelines
Basic knowledge of billing claim forms (UB04/1500)
Basic knowledge of payor contracts
Working Knowledge of Microsoft Word and Excel
Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)

Nice To Haves

Working knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon
Working knowledge of DDE Medicare claim system

Responsibilities

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.
Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards.
Enhances 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)
Follows 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.
Perform other related duties as required.