Remote Billing Specialist 2 – Work from Home

This position is only open to Alabama, Colorado, Florida, Georgia, Idaho, Kansas, Kentucky, Maine, Virginia, Vermont, Michigan, North Carolina, South Carolina, Tennessee, Texas, Virginia and Vermont.

Billing Specialist I  

Essential Duties & Responsibilities:

• Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy
• Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers.
• Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission.
• Respond timely to emails and telephone messages as appropriate.
• Communicate issues to management, including payer, system or escalated account issues.
• Participate and attend meetings as requested, training seminars and in-services to develop job knowledge.
• Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards.
• Enhances billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Update patient demographics/insurance information in appropriate systems –
• Monitor claims for missing information, authorization and control numbers(ICN//DCN)
• Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
• Secure needed medical documentation required or requested by third party insurance carriers
• Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
• Perform other related duties as required

Minimum Requirements & Competencies: 

• High School Diploma or GED
• At least one year of experience in healthcare insurance billing, working with or for a hospital/hospital system, working directly with government or commercial payers.

• Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials.
• Experiences reading and utilizing EOB, 1500 and UB-O4 Forms
• Knowledge of CD-10, CPT, HCPCS and NCC
• Knowledge and ability to utilize third-party billing guidelines
• A minimum of 6 months experience of billing claim forms (UB04/1500)
• Understanding payor contracts and the ability to read and interpret them.
• Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.)
• Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and third-party payer billing and reimbursement procedures and practices.
• Demonstrated ability to navigate Internet Explorer and Microsoft Office, including the ability to input and sort data in Microsoft Excel and use company email and calendar tools.
• Demonstrated success working both individually and in a team environment.
• Demonstrated experience communicating effectively with payers, understanding complex information and accurately documenting the encounter.
• Demonstrated ability to meet performance objectives.

Preferred Requirements & Competencies: 

• Working knowledge of one or more of the following Patient accounting systems –  EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon
• Working knowledge of DDE Medicare claim system
• Knowledge of government rules and regulations

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $13.13 to $20.63. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.