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Billing Specialist LOA

ZUFALL HEALTH CENTER INCDover, NJ
$20 - $23

About The Position

Under the direct supervision of the Revenue Cycle Manager, the Billing Specialist LOA will be responsible for reviewing eligible claims for submission to the State (LOA).

Requirements

  • Knowledge of Microsoft Office, keyboarding, and use of electronic medical records
  • Ability to operate a computer and basic office equipment.
  • Skill in answering a telephone in a pleasant and helpful manner.
  • Ability to read, understand and follow oral and written instructions.
  • Ability to establish and maintain effective working relationships with patients, employees, and the public.
  • Must be well organized and detail oriented.
  • Learn and apply the trauma informed care principles with the scope of the position

Responsibilities

  • Reviews eligible claims for compliance with State
  • Is responsible for understanding what qualifies as billable and non-billable for both Medical and dental claims
  • Processes full life of LOA claims. Which includes processing pending claims and then following up on approval and/or rejection
  • Validating/Confirming patient payments is a part of Billing meetings regarding loss of revenue due to missing payments
  • Works with Billing Claims Manager to come up with plans for aiding loss of revenue due to missing payments
  • Answers questions from patients and clerical staff regarding LOA/Uninsured issues or concerns
  • Conducts self in accordance with ZHC’s employee handbook.
  • Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  • Performs other duties as assigned

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