Medical Billing Specialist
4 weeks ago
Required Skills and Experience *
3 years of experience in home care pharmacy billing preferably in Commercial
Experience with HMO, PPO, capitated payers, Medicaid managed care payers
Experience with 340B guidelines and reg, factor drug billing, compound drug, TPN
Microsoft, outlook, teams, excel, word
Nice to Have Skills and Experience
Experience with CPR+
Job Description *
A large Hospital in the San Diego area is looking for a remote Billing and Reimbursement Specialist to join their team to support an upcoming project. The Reimbursement Specialist is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. It is a requirement for the Reimbursement Specialist to make sure that the claims are clean and delivery tickets are accurate. Additionally this individual is responsible for inputting data into the systems, manually uploading claims, following up with AR and the payer to confirm receipt. Lastly if the claim is denied, the individual is responsible for resolving the issue themselves. This position is a 3 month contract with possible extension M-F 8:00am-4:30pm PST and can be done in a hybrid or remote setting. Equipment will be provided.
Must be comfortable working PST hours
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