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Non-Clinical - Finance / Accounting - Billing Specialist

Non-Clinical - Finance / Accounting - Billing Specialist

BesticaSan Diego, CA, United States
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  • Mainly remote but must be able to come onsite as needed to support paper claims team
  • Required - questions must be answered by the candidate on the coversheet or beginning of resume. As part of our candidate screening process, please respond to the following questions : 1. Do you have HOSPITAL billing and collections experience? If yes, how many years? 2. Do you have experience billing commercial payors? If yes, how many years? 3. Do you have any experience with performing billing and collections functions within Epic? If yes, how many years? 4. Are you able to work remote with a start time between 6am-9am PST? 5. Are you able to come onsite on an as need basis to support the team? Requirements : - High School Diploma, GED or Equivalent - 2 years of experience in billing and collections in hospital setting - EPIC experience - Proficiency in Microsoft Excel, Word and Outlook programs - Proficiency in sending paper claims, paper appeals and refund requests HYBRID Shift / Hours : 5x8 Days Mon-Fri; 7 : 30am-4pm PT (flexible) Job Summary : Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is required to identify and report payor issues to their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all payments due to the organization. The Reimbursement Specialist I must perform account collection activities utilizing internet resources and professional telephone communication etiquette.
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    Billing Specialist • San Diego, CA, United States

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