Claims Development Specialist
About The Position
The Claims Development department posts all demographic and charge-related information to the billing system, ensuring that claims are billed out accurately and timely for all clients. The Claims Development Specialist is responsible for specific geographic locations, ensuring accurate conversion of files, demographic posting, charge posting and clean up, and review of all outstanding data is completed daily. You must be detail oriented, able to multitask, work equally as part of a team and independent at times. This position will be located at our offices in Westlake Village, CA.
Requirements
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
- Communicate clearly and confidently, both in writing and in conversation.
- Ability to manage multiple priorities in a fast-paced environment.
- Are detail-oriented, organized, and proactive.
- Are eager to learn, ask great questions, and work with others to solve problems.
- High school diploma or equivalent required; bachelor’s degree highly preferred.
- Minimum 2 years of medical billing experience, preferably in radiology or diagnostic imaging.
- Knowledge of MS Office Suite & ability to navigate multiple software programs.
- Familiarity with terminology in medical billing.
- Familiarity with billing software, clearing house platforms and EMRs (XiFin, Imagine, TriZetto, Availity, EPIC, etc.).
Responsibilities
- Utilize MS Excel and MS Access to process daily demographics into a standard format.
- Access client portals remotely to retrieve pending information related to missing charge and/or demographic information not received with the initial data and clear from holding queues daily.
- Research new Referring Drs including obtaining correct addresses and NPI details to add to the billing system.
- Work Translations for POS, Relationship Codes, New Patients, New Insurances, etc.
- Work EMC Exceptions within Imagine.
- Assist in the manual printing process of paper HCFA’s weekly.
- Review and process charges from the Optum assisted coding engine, to the Imagine billing software.
- Utilize Microsoft Access and/or other database systems to complete and track progress.
- Be a team player with the ability to work effectively with cross-functional teams.
- Utilize your excellent organizational, multitasking & detail-oriented skills.
- Communicate with internal and external teams with a high level of professionalism.
- Adhere to HIPAA and company confidentiality policies at all times.
- Participate in ongoing quality assurance reviews and internal audits.
- Assist with audits and special projects.
Benefits
- Comprehensive health benefits including medical, dental, vision, and telehealth
- 401(k) with company match and personalized financial coaching to support your financial future
- Health Savings Account (HSA) with company contributions
- Wellness incentives that reward your preventative healthcare activities
- Tuition assistance to support your education and growth
- Flexible time off and company-paid holidays
- Social and fun events to build community at our locations!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
