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« Back to Search Billing Specialist I
Chula Vista, CA

Date Posted: November 16, 2017
Job Type: Temporary to Hire
Job ID: 288142

Job Description

Our client, a leading Medical Supplies company is seeking a Billing Specialist to join their team on a temporary to direct hire contract. Our client is growing and expanding, and this would represent a great career opportunity. Located in the San Diego area, in modern facilities gives a great work environment.

SUMMARY

Responsible for billing both patients and insurance companies.  Enters and codes patient services into a computer system and generates invoices to be sent to the patient; sorts and files paperwork, handles insurance claims, and performs collections duties.

DUTIES AND RESPONSIBILITIES

  • Collect, and manage Insurance accounts
  • Effectively manage aging of receivables
  • Submit claims to insurance
  • Prepare and review patient statements
  • Review delinquent accounts and call for collection purposes
  • Process payments from insurance companies
  • Maintain strict confidentiality
  • Upload documents
  • Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding
  • Use computers to read and organize charts
  • Follow up to see if a claim is accepted or denied
  • Investigate rejected claims to see why denial was issued
  • All other duties and responsibilities that may be assigned

SKILLS DEMONSTRATING PROFICIENCY AT THIS LEVEL

  • Locates insurance and patient records and navigate in the billing system
  • Understands physician roles and how they impact payer reimbursements
  • Understands Healthcare Common Procedure Coding (HCPC) codes
  • Understands diagnoses codes.
  • Demonstrates ability to manage customer relationships
  • Understands company’s products and services.
  • Understands and enforces simple payer contract terms and requirements
  • Demonstrates basic knowledge of medical claims reimbursements (co-pays, deductibles, order of payers, and allowable/adjustments)

QUALIFICATION REQUIREMENTS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

            EXPERIENCE      

Years of related experience

Required

Preferred

0 – 1

 

 

1 – 3

X

 

3 – 5

 

X

5 – 8

 

X

8 – 10

 

 

10 +

 

 

            CERTIFICATES, LICENSES and/or REGISTRATIONS

Licensure & Certification

Required

Preferred

Pharmacy Technician

 

 

Insurance Billing & Coding

 

X

Valid Driver’s License

 

 

 LANGUAGE SKILLS

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.

Ability to write routine reports and correspondence.

Ability to speak effectively to customers and/or employees of the organization.

MATHEMATICAL SKILLS

Ability to calculate figures and amounts such as discounts, interest, commissions, and percentages.

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

OTHER SKILLS and ABILITIES

Ability to plan and multi-task; effective communication skills; detail oriented. Knowledgeable in Microsoft Suite (Excel, Word, PowerPoint) and Medical billing software.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk, listen and use hands to finger, handle or feel. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

The employee must occasionally lift and/or move up to 10 pounds.