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Insurance Billing Specialist

2 months ago


Los Angeles, United States Prosum Full time

Insurance Billing Specialist

Summary:

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 withing 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.

Minimum Education/Experience:

  • Minimum two (2) years’ experience in medical insurance billing required (preferably in facility billing)
  • Soarian Financials experience required

Primary Accountabilities:

Support Soarian Financials Billing Edits and Billing Processes