Commercial Ins Spec

AHMC HealthcareRiverside, CA
3d

About The Position

Overview Perform various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria. Comply with hospital and federal policies and guidelines in the billing and collection of claims. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement. Responsibilities Perform various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria. Comply with hospital and federal policies and guidelines in the billing and collection of claims. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.

Requirements

  • CPT-4, HCPCs, DRG, ICD-9 coding knowledge.
  • Minimum 2 years Insurance/Contract billing and follow up experience in a hospital setting.

Responsibilities

  • Perform various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria.
  • Comply with hospital and federal policies and guidelines in the billing and collection of claims.
  • Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.
  • Perform various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria.
  • Comply with hospital and federal policies and guidelines in the billing and collection of claims.
  • Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.
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