Insurance Billing Specialist - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

University of Southern California•Los Angeles, CA

6d•Onsite

About The Position

A Billing Specialist maintains current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly. Responsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers; submits claims within 48 – 72 hrs of creation date; responsible for coordinating rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas. May serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits. Conducts all duties in a professional and timely manner. Must deliver compassion and respect at all encounters while assisting patients and callers with billing questions and insurance coverage determination on the phone, via email or in person. Apply excellent communication and teamwork skills to maintain successful working relationships with team members and various groups throughout the organization. Listen effectively. Build appropriate rapport. Use diplomacy and tact. Document all calls, actions in follow-up system. Confirm/update guarantor, insurance and demographics. Demonstrate ingenuity, self-reliance and resourcefulness. Able to take needed action without direct instructions. Demonstrates ability to deescalate matters - in person or over the phone - providing customers with options to problem solve. Ensure to follow-up timely and embody the USC spirit in all transactions. Partner with patients on Financial assistance and any and all governmental or private payer systems. Establish payment arrangements and settlements within hospital policies. Manage individual scope of work including assigned tasks and activities in a timely manner and within budget. Identify opportunities for improvement and, when appropriate, develop and implement effective solutions. Provide quality service and support to patients and/or client groups. Demonstrate a positive image and perform responsibilities in a professional manner. Ensure that all information and services provided are accurate; meet the customer’s needs, in a timely manner.

Requirements

High school or equivalent
Minimum two (2) years’ experience in medical insurance billing required (preferably in facility billing)
Fire Life Safety Training (LA City) - If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

Nice To Haves

Certified Coding Specialist - CCS (AHIMA)
Billing and Coding Certificate preferred

Responsibilities

Maintain current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly.
Review and resolve claim edits in the billing scrubber for all government and non-government payers.
Submit claims within 48 – 72 hrs of creation date.
Coordinate rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas.
Serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits.
Deliver compassion and respect at all encounters while assisting patients and callers with billing questions and insurance coverage determination on the phone, via email or in person.
Apply excellent communication and teamwork skills to maintain successful working relationships with team members and various groups throughout the organization.
Document all calls and actions in follow-up system.
Confirm/update guarantor, insurance and demographics.
Demonstrate ingenuity, self-reliance and resourcefulness.
Take needed action without direct instructions.
Deescalate matters - in person or over the phone - providing customers with options to problem solve.
Follow-up timely and embody the USC spirit in all transactions.
Partner with patients on Financial assistance and any and all governmental or private payer systems.
Establish payment arrangements and settlements within hospital policies.
Manage individual scope of work including assigned tasks and activities in a timely manner and within budget.
Identify opportunities for improvement and, when appropriate, develop and implement effective solutions.
Provide quality service and support to patients and/or client groups.
Demonstrate a positive image and perform responsibilities in a professional manner.
Ensure that all information and services provided are accurate; meet the customer’s needs, in a timely manner.