Billing Specialist I - ICONMA, LLC
Costa Mesa, CA 92626
About the Job
Billing Specialist I
Location: Costa Mesa, CA
Duration: 3 months
Description:
The Claims Billing Specialist is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date.
Ensures accuracy, reports issues and works to resolve. Ensures compliance and regulatory guidelines and health plan requirements are met.
Documents actions taken following HIPAA guidelines.
May assist in providing customer service, member services, and others in working with providers/billing offices when needed.
Performs other duties as assigned.
Candidates must have medical billing experience, preferably in hospital setting.
Billing Specialist only
May also maintain databases, audit information and works with patients to process patient payment.
May follow up with insurance companies on outstanding or unpaid claims, create/send statements to patients.
Skills:
Proficient in Microsoft Word, Excel, Typing/Data Entry
Experience in and knowledge of all medical billing protocols including HCPCS, ICD-10, and CPT codes as well as EMR system experience.
Education:
High School Diploma or equivalent, 1+ years of experience in medical claims/billing
Languages:
English Read Write Speak
Skills Required:
Claims
CPT
Billing
Hipaa
Icd
Additional Skills:
Emr
Medical claims
Audit
Retail sales
Typing
Excel
Data entry
Customer service oriented
Microsoft word
Minimum Degree Required:
Completed High School (Diploma or GED)
Job Knowledge, Skills, and Competencies.
Diversity
Interpersonal Skills
Job Knowledge
Oral/Written Communication
Technology & Equipment Skills
Organization Behavioral Competencies
Business acumen
Customer satisfaction
Innovation
Trust & accountability
Education and Experience:
Required:
High School Diploma or equivalent, 1+ years of experience in medical claims/billing
Proficient in Microsoft Word, Excel, Typing/Data Entry
Preferred:
Claims Specialist only
Experience with Epic Tapestry CRM system and in claims adjudication; Working knowledge of regulatory guidelines in managed care (Title 22, AB1455, AB1203, AB1324, AB72, CM5 guidelines, COB guidelines, etc.), claims processing, code categories (CPT, ICD, etc.)
Location: Costa Mesa, CA
Duration: 3 months
Description:
The Claims Billing Specialist is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date.
Ensures accuracy, reports issues and works to resolve. Ensures compliance and regulatory guidelines and health plan requirements are met.
Documents actions taken following HIPAA guidelines.
May assist in providing customer service, member services, and others in working with providers/billing offices when needed.
Performs other duties as assigned.
Candidates must have medical billing experience, preferably in hospital setting.
Billing Specialist only
May also maintain databases, audit information and works with patients to process patient payment.
May follow up with insurance companies on outstanding or unpaid claims, create/send statements to patients.
Skills:
Proficient in Microsoft Word, Excel, Typing/Data Entry
Experience in and knowledge of all medical billing protocols including HCPCS, ICD-10, and CPT codes as well as EMR system experience.
Education:
High School Diploma or equivalent, 1+ years of experience in medical claims/billing
Languages:
English Read Write Speak
Skills Required:
Claims
CPT
Billing
Hipaa
Icd
Additional Skills:
Emr
Medical claims
Audit
Retail sales
Typing
Excel
Data entry
Customer service oriented
Microsoft word
Minimum Degree Required:
Completed High School (Diploma or GED)
Job Knowledge, Skills, and Competencies.
Diversity
Interpersonal Skills
Job Knowledge
Oral/Written Communication
Technology & Equipment Skills
Organization Behavioral Competencies
Business acumen
Customer satisfaction
Innovation
Trust & accountability
Education and Experience:
Required:
High School Diploma or equivalent, 1+ years of experience in medical claims/billing
Proficient in Microsoft Word, Excel, Typing/Data Entry
Preferred:
Claims Specialist only
Experience with Epic Tapestry CRM system and in claims adjudication; Working knowledge of regulatory guidelines in managed care (Title 22, AB1455, AB1203, AB1324, AB72, CM5 guidelines, COB guidelines, etc.), claims processing, code categories (CPT, ICD, etc.)
Source : ICONMA, LLC