Billing Specialist - Temp

The US Oncology Network • Antioch, CA

7d

About The Position

The Billing Specialist reviews and/or enters received charges, applies appropriate coding guidelines, and helps ensure accurate, clean claim submission. The role identifies potential issues and reports them to a supervisor or manager for possible provider education, interface corrections, or EPIC rule changes. It may also involve troubleshooting charge entry and claim submission, communicating issues and resolutions to relevant parties, assisting other charge capture specialists, and taking on other assigned duties or desks as needed. The specialist uses payer websites to locate and understand guidelines, NCDs/LCDs, and coding tools and applies that information to the work.

This is a part-time temporary position. The stated hourly rate is $25.75–$33.60, depending on skills and experience. Work is performed in an office environment and involves frequent interaction with staff, patients, and the public.

Requirements

• High school degree or equivalent.
• Three years of experience coding and posting charges in a medical office or hospital.
• Two years of EMR experience.

Nice To Haves

• Associate degree.
• Certificate in Medical Billing or Insurance.
• CPC certification.
• One year of EPIC EMR experience.

Responsibilities

• Perform timely review of assigned EPIC work queues, coding and reviewing charges by site and date of service.
• Preview charges for billing errors and apply coding guidelines for various specialties to support clean claim submission.
• Enter manual charges and apply coding guidelines for various specialties to support clean claim submission.
• Review claim-edit work queues in a timely manner, correct errors, and submit clean claims.
• Approve claim runs as needed.
• Audit the accuracy of submitted charges to a standard greater than 95%, including reviewing pertinent data to support clean claim submission or assist with appeals.
• Identify and report issues to a supervisor or manager, including issues that may call for provider education, interface corrections, or EPIC rule changes.
• Troubleshoot and anticipate potential charge-entry or claim-submission issues and communicate them and their resolutions to appropriate parties.
• Assist other charge capture specialists with questions, clarifications, charge review, and charge entry.
• Navigate payer websites to find and understand guidelines, NCDs/LCDs, and coding tools, and apply that knowledge.
• Help with other assigned duties or desks as needed.

What This Job Offers

• Job Type: Part-time
• Education Level: High school or GED