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Post Bill Specilaist

Posted on Jan 14, 2019 by Helpmates Staffing

Orange, CA 92866
7 Jan 2019
Annual Salary
Post-bill Specialist The Post-bill Specialist is responsible for follow up on insurance claims after the initial sent claim in order to facilitate payment from the appropriate source in a timely manner. YOU MUST be knowledgeable in the life-cycle of a claim and the expectation of a variety of payers. Sorts and responds timely and accurately to incoming insurance correspondence and inquiries Contact with patients, as necessary to verify and obtain insurance information Responds to all phone calls from other departments or insurance companies in an efficient and courteous manner Updates patient accounts based on verified information from the patient/guarantor or other valid method Prepares correspondence to payer as necessary Utilize Passport and/or other methods of insurance verification as appropriate Verifies eligibility and insurance benefits for old billing patients to ensure appropriateness Research/calls on accounts and determine the nature of any problem in payment on the account when required Know when to file appeal Recognize and post denials Review/work payer correspondence accordingly Research payer specific information, online, in provider manuals, and by calling payers Review claim for accuracy (as needed), must have a basic understanding of the Pre-bill functions (i.e. signature rules, ICD-9 coding, modifiers, etc.) Navigate through Paperclip to locate supporting documentation that may be relative to the billing process (i.e. EMS Report, medical records, EOB, etc.) Job Requirements Education: High school diploma or equivalent (GED) required Secondary school: Preferred Certification/Diploma from a course in Medical Billing and Coding Minimum two years of: 3 years Demonstrated ability to work well at all levels of the organization Solid understanding full cycle of a claim Computer savvy: Microsoft Word and Microsoft Excel Type 40 WPM Additional Information We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the California Fair Employment and Housing Act (FEHA). Category: General

Reference: 627141120