Billing Invoicing Processor - Syntricate Technologies Inc
Mason, OH
About the Job
Job Title : Billing Invoicing Processor
Description :
Work hours: 8am-5pm M-F
Start date: ASAP
Length of assignment: 6 months
Location Address: Mason, OH
Hybrid - 2-3x a week.
Specific Skills Needed:
Top 3-5 mandatory and/or minimum requirements
1. Knowledge of Medical Terminology: Understanding medical terms related to vision care.
2. Understanding of Insurance and Billing Procedures: Familiarity with different insurance plans, billing processes, and coding systems (e.g., ICD-10, CPT).
3. Attention to Detail: Ensuring accuracy in billing, coding, and documentation.
Top 3-5 desirable attributes/qualifications?
4. Computer Proficiency: Ability to use billing software, electronic health records (EHR), and other healthcare management systems.
5. Communication Skills: Effective communication with healthcare providers, insurance companies, and patients.
6. Problem-Solving Skills: Ability to handle billing discrepancies and insurance claim denials.
Required levels/ Years of Experience education – discuss whether there is flexibility Bachelor's Degree + 3 years of experience OR 5+ years of experience.
MAJOR DUTIES AND RESPONSIBILITIES
Interfaces daily with internal and external clients (via phone and email) to research and resolve issues accurately and in a timely, escalating where necessary.
Ensures timely communication to internal and external stakeholder and provides status updates to management.
Develops and delivers reporting and analyzes data to identify trends, provide forecasts, makes recommendations, and offers solutions to facilitate accurate invoicing of premiums and/or claims to internal stakeholders and external clients.
Analyzes and delivers insight on invoicing trends, including billing frequency and root cause analysis (i.e. revenue entities, client set-up issues, retro adjustments, membership, rates, etc.).
Facilitates accurate invoicing by identifying high risk clients and validating billing process.Identifies and recommends system/process modifications to improve efficiency and effectiveness.
Determines and initiates requests for account holds & retro billing.
Audits new or modified set-ups to ensure accurate invoicing and data transfers
Acts as the subject matter expert for billing and invoicing as the main contributor to effective billing process and client migration related projects and activities. Leads and conducts all billing and invoice related training as necessary, including the training and communication of changes in business processes.
QUALIFICATIONS/PREFERRED EXPERIENCE
1. Knowledge of Medical Terminology: Understanding medical terms related to vision care.
2. Understanding of Insurance and Billing Procedures: Familiarity with different insurance plans, billing processes, and coding systems (e.g., ICD-10, CPT).
3. Attention to Detail: Ensuring accuracy in billing, coding, and documentation.
4. Computer Proficiency: Ability to use billing software, electronic health records (EHR), and other healthcare management systems.
5. Communication Skills: Effective communication with healthcare providers, insurance companies, and patients.
6. Problem-Solving Skills: Ability to handle billing discrepancies and insurance claim denials.
7. On-the-Job Training or Internship: Practical experience through entry-level positions in medical billing.
8. Experience in Vision Care Settings: Specific experience in ophthalmology or optometry practices is advantageous.
9. Understanding of privacy and security regulations.
Description :
Work hours: 8am-5pm M-F
Start date: ASAP
Length of assignment: 6 months
Location Address: Mason, OH
Hybrid - 2-3x a week.
Specific Skills Needed:
Top 3-5 mandatory and/or minimum requirements
1. Knowledge of Medical Terminology: Understanding medical terms related to vision care.
2. Understanding of Insurance and Billing Procedures: Familiarity with different insurance plans, billing processes, and coding systems (e.g., ICD-10, CPT).
3. Attention to Detail: Ensuring accuracy in billing, coding, and documentation.
Top 3-5 desirable attributes/qualifications?
4. Computer Proficiency: Ability to use billing software, electronic health records (EHR), and other healthcare management systems.
5. Communication Skills: Effective communication with healthcare providers, insurance companies, and patients.
6. Problem-Solving Skills: Ability to handle billing discrepancies and insurance claim denials.
Required levels/ Years of Experience education – discuss whether there is flexibility Bachelor's Degree + 3 years of experience OR 5+ years of experience.
MAJOR DUTIES AND RESPONSIBILITIES
Interfaces daily with internal and external clients (via phone and email) to research and resolve issues accurately and in a timely, escalating where necessary.
Ensures timely communication to internal and external stakeholder and provides status updates to management.
Develops and delivers reporting and analyzes data to identify trends, provide forecasts, makes recommendations, and offers solutions to facilitate accurate invoicing of premiums and/or claims to internal stakeholders and external clients.
Analyzes and delivers insight on invoicing trends, including billing frequency and root cause analysis (i.e. revenue entities, client set-up issues, retro adjustments, membership, rates, etc.).
Facilitates accurate invoicing by identifying high risk clients and validating billing process.Identifies and recommends system/process modifications to improve efficiency and effectiveness.
Determines and initiates requests for account holds & retro billing.
Audits new or modified set-ups to ensure accurate invoicing and data transfers
Acts as the subject matter expert for billing and invoicing as the main contributor to effective billing process and client migration related projects and activities. Leads and conducts all billing and invoice related training as necessary, including the training and communication of changes in business processes.
QUALIFICATIONS/PREFERRED EXPERIENCE
1. Knowledge of Medical Terminology: Understanding medical terms related to vision care.
2. Understanding of Insurance and Billing Procedures: Familiarity with different insurance plans, billing processes, and coding systems (e.g., ICD-10, CPT).
3. Attention to Detail: Ensuring accuracy in billing, coding, and documentation.
4. Computer Proficiency: Ability to use billing software, electronic health records (EHR), and other healthcare management systems.
5. Communication Skills: Effective communication with healthcare providers, insurance companies, and patients.
6. Problem-Solving Skills: Ability to handle billing discrepancies and insurance claim denials.
7. On-the-Job Training or Internship: Practical experience through entry-level positions in medical billing.
8. Experience in Vision Care Settings: Specific experience in ophthalmology or optometry practices is advantageous.
9. Understanding of privacy and security regulations.
Source : Syntricate Technologies Inc
