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Savista

Billing Specialist 2

Posted 23 days ago
2-5 years experience
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AI Summary

The Billing Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies. They must also research and resolve billing rejections and utilize provider billing manuals to ensure compliance.

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

This position is a medical biller is responsible for the timely submission of technical or professional medical claims to insurance companies

Billing Specialist II  

Essential Duties & Responsibilities: 

 

  • Utilize provider billing manuals to obtain billing guidelines and requirements 

  • Import verification and escalation of import/export files 

  • Special Handling billing included not limited to interim bills, overlap review, redistribution of money for correct claim creation 

  • Resolve and research billing Rejections 

 

Minimum Requirements & Competencies:  

  • 2+ years of medical collections/billing experience 

  • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI 

  • Intermediate knowledge of third party billing guidelines 

  • Intermediate knowledge of billing claim forms(UB04/1500) 

  • Intermediate knowledge of payor contracts 

  • Working Knowledge of Microsoft Word and Excel 

  • Intermediate working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.) 

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 

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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