Senior Billing Specialist

2 days ago


Providence, Rhode Island, United States Complete Staffing Solutions Full time
Job Title: Billing Analyst

Job Summary:

We are seeking a highly skilled Billing Analyst to join our team at Complete Staffing Solutions. The successful candidate will be responsible for researching and resolving variance analysis between third-party payer contracts and actual payments, as well as comprehending and interpreting all third-party contracts.

Key Responsibilities:

  • Carry out the mission to attain excellence in the provision of healthcare services by consistently fulfilling the commitment to quality and compassionately delivering total patient-centered service.
  • Operate the contract management system and ensure accuracy of the Fee Schedule Matrix as contracts are renegotiated.
  • Provide hospital liaison services for third-party system-related issues and ensure timely resolution.
  • Prepare financial reports and quarterly contract management reports, and provide updates to lead coordinators.
  • Represent the department to third parties and outside vendors, and demonstrate advanced analytical skills for contract management analysis.
  • Have extensive knowledge of third-party regulations and payment mechanisms, as well as technical knowledge of CPT-4 coding regulations, DRGs, UB-92, Revenue Codes, and HCFA 1500s.

Requirements:

  • High school diploma required; Bachelor's degree in Business Administration preferred.
  • 3-5 years of healthcare experience preferred, with extensive computer experience and knowledge of third-party regulations and billing forms.

Why Work with Us:

At Complete Staffing Solutions, we are committed to providing exceptional service and support to our clients and candidates. We offer a dynamic and collaborative work environment, with opportunities for professional growth and development.



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