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Insurance Claims Specialist

4 weeks ago

Los Angeles, California, United States Prosum Full time
Job Summary

A Billing Specialist plays a crucial role in maintaining the organization's billing and coding practices to ensure accurate and timely claims processing. The ideal candidate will have a strong understanding of billing guidelines and regulations, as well as excellent analytical and problem-solving skills.

Key Responsibilities
  • Review and resolve claim edits in the billing scrubber for government and non-government payers
  • Submit claims within hours of creation date
  • Coordinate rebill requests from internal departments, including Compliance, Collections, Audit, Customer Service, HIM, and vendors
  • Serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits
  • Conduct all duties in a professional and timely manner
Requirements
  • Minimum two (2) years' experience in medical insurance billing, preferably in facility billing
  • Soarian Financials experience required

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