Medical Billing Specialist
2 weeks ago
This position offers a hybrid schedule, with a combination of working from home and in the office
Position Overview:
As a Medical Billing Specialist, you will play a crucial role in ensuring the smooth operation of the Utilization Management Department. This position requires strong organizational skills, the ability to multitask, and a solid understanding of ICD-9/10, CPT coding, and medical terminology. You will be the first point of contact for providers, ensuring their calls are handled promptly and accurately, while maintaining the highest level of customer service.
Key Responsibilities:
• Referral Processing: Monitor the Right Fax Server to ensure all referrals are processed efficiently and in compliance with turnaround timeframes.
• Data Accuracy: Verify the completeness of referral forms, obtain any missing demographic information, and make initial coding attempts for uncoded referrals.
• Authorization Accuracy: Meet accuracy standards for authorizing referrals at the UM Coordinator level.
• Customer Interaction: Represent the company professionally while answering calls for the Utilization Management Department, ensuring a friendly and helpful experience.
• Provider Communication: Collaborate with the Utilization Management Nurse to communicate with providers regarding authorizations, modifications, denials, and other relevant matters.
• Support Management: Assist management and Utilization Management Nurses as needed to ensure department goals are met.
Education & Experience:
• Minimum of three (3) years of experience as a data entry specialist or coordinator.
• High school diploma or GED required.
Key Qualifications:
• Proficiency in ICD-9/10 and CPT coding is required
• Experience in managed care or a physician's office is a must.
• Strong skills in computer applications, including word processing, databases, and spreadsheets.
• Excellent customer service skills with a friendly and professional demeanor.
Why Join Us?
• Be a part of a collaborative team dedicated to improving patient care.
• Opportunity for growth and development within a supportive work environment.
• Competitive salary and benefits package.
• This position offers a hybrid schedule, with a combination of working from home and in the office
If you are organized, detail-oriented, and eager to contribute to a mission-driven organization, we would love to hear from you Apply today and take the next step in your career with our esteemed client.
EEO/AA Employer/Vet/Disabled.
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#1062
Company DescriptionFounder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500. Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.
Mrs. Howroyd’s commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees. The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.
Mrs. Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy. Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.
Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields. Her book, The Art of Work: How to Make Work, Work for You, is available on Amazon.com.Company DescriptionFounder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500. Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.\r
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Mrs. Howroyd’s commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees. The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.\r
\r
Mrs. Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy. Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.\r
\r
Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields. Her book, The Art of Work: How to Make Work, Work for You, is available on Amazon.com.
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