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2 months ago
Note to Suppliers: Each supplier may submit up to candidates. Please ensure you present only your top candidates—do not submit just to meet the quota.
Fieldglass Comments Section: Provide a snapshot of key information. (Do not include this on the resume.)
- Candidate's Location: Specify the city.
- Skillset Alignment: Highlight how the candidate's skills align with the role's requirements.
- Requested Time Off: Mention any requested time off, such as vacation.
- Work Authorization Status: Indicate the candidate's work authorization status.
Assignment Information:
Location: Remote OK; Local candidates will be prioritized.
Work Location: N. Soto St, Los Angeles, CA
Campus or Medical Enterprise: Medical Enterprise
Job Title: Insurance Billing Specialist
Number of Positions:
Duration: months, with a possible extension
Work Hours: AM - PM
Interview Process: -step video/Teams interview
Dress Code: Business Casual
Must-Haves for the Billing Specialist Role:
Minimum of two () years of experience in medical insurance billing: Experience should ideally be in facility billing to ensure familiarity with the relevant processes.
Experience with Soarian Financials: Proficiency in supporting billing edits and processes within Soarian Financials is essential for this role.
Strong understanding of billing and coding guidelines: The candidate must have a solid grasp of billing and coding regulations for government and non-government payers to ensure claims are properly billed.
Experience in claim resolution: Ability to review and resolve claim edits efficiently, ensuring claims are submitted within the - hour timeframe.
Coordination and communication skills: The ability to work with multiple internal departments (Compliance, Collections, Audit, Customer Service, HIM, etc.) and act as a liaison between the Revenue Cycle areas and the billing agency to resolve claim issues.
Attention to detail and timeliness: Must demonstrate professionalism and efficiency in all aspects of claim submission, rebilling, and resolution processes.
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 – 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 () 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
Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions.
Medical Enterprise - Non-Clinical Onboarding Requirements:
Background, Education, and Employment
Background Check:
· Social Security Trace: years worked and lived found by SSN Trace
· County Criminal F&M: years
· Federal Criminal: years
· Widescreen Plus National Criminal Search
· National Sex Offender Registry
· Healthcare Sanctions – State
· OIG/SAM
Education:
· HS Diploma (or equivalent – GED)
Employment:
· Verification of Employers, with out of verified
Other Requirements:
· HIPAA Training
· Application
· Temporary Worker Agreement
· Harassment & Discrimination Pamphlet
Medical Requirements:
Immunizations:
· MMR (Measles, Mumps, Rubella): Proof of immunity or series of shots
· Varicella (Chickenpox): Proof of immunity or series of shots
· Hepatitis B: Proof of immunity or series of shots; worker can decline with a declination form on file
TB Test:
· Annual test required; results must be read within to hours
· Positive TB history requires chest x-ray results
Drug Screen:
· Must be taken within hours or the offer is rescinded.
· -panel drug test including:
o Amphetamines
o Barbiturates
o Benzodiazepines
o Cocaine metabolite
o Opiates (Codeine, Morphine)
o Hydrocodone
o Hydromorphone
o Oxycodone
o Phencyclidine
o Methadone
o Propoxyphene
Influenza Vaccination:
· Required for the current flu season (/ through /)
· Workers starting after May st should wait until after September st for the next flu shot season
· Accepts signed personal/medical exemption
COVID Vaccinations:
· Fully vaccinated with Covid-- Vaccine
· Accepts signed religious/medical exemption
Note: All items are billable except for the drug screen. Working Job Title Insurance Billing Specialist Markup Category Information Technology Shift Details/Expected Working Days and Hours SEE JD Dress Code/Special Attire SEE JD Does this position require driving? No Will resource have direct patient contact? No HIPAA training required? Yes Nearest Parking Location SEE JD Will job responsibilities include working directly with minors? No Does the position allow for the worker to be virtual/remote? Yes Shore Options Available for this Position Onshore Only Hours per Day Hours per Week Total Hours ,
