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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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