Insurance Billing Specialist

NetSource is a Global Workforce Solutions Company headquartered at NJ, USA with its branch offices in Asia Pacific Region.

We are one of the fastest growing IT Consulting company across the USA and we are hiring "Job Title" for one of our clients.

We offer a wide gamut of consulting solutions customized to our + clients ranging from Fortune / to Start-ups across various verticals like Technology, Financial Services, Healthcare, Life Sciences, Oil & Gas, Energy, Retail, Telecom, Utilities, Technology, Manufacturing, the Internet, and Engineering.

Job Title : Insurance Billing Specialist

Location : Los Angeles, CA (Remote, Local candidates will be prioritized)

Pay rate : $

Duration : months, with a possible extension

Work Hours : AM - PM

Must-Haves for the Billing Specialist Role :

• Minimum of two () years of experience in medical insurance billing : Experience should ideally be in facility billing to ensure familiarity with the relevant processes.
• Experience with Soarian Financials : Proficiency in supporting billing edits and processes within Soarian Financials is essential for this role.
• Strong understanding of billing and coding guidelines : The candidate must have a solid grasp of billing and coding regulations for government and non-government payers to ensure claims are properly billed.
• Experience in claim resolution : Ability to review and resolve claim edits efficiently, ensuring claims are submitted within the - hour timeframe.

Coordination and communication skills : The ability to work with multiple internal departments (Compliance, Collections, Audit, Customer Service, HIM, etc.

and act as a liaison between the Revenue Cycle areas and the billing agency to resolve claim issues.

Attention to detail and timeliness : Must demonstrate professionalism and efficiency in all aspects of claim submission, rebilling, and resolution processes.

Summary :

A Billing Specialist maintains current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly.

Responsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers;

submits claims withing hrs of creation date; responsible for coordinating rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas.

May serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits. Conducts all duties in a professional and timely manner.

Minimum Education / Experience :

• Minimum two () years' experience in medical insurance billing required (preferably in facility billing)
• Soarian Financials experience required
• Primary Accountabilities :
• Support Soarian Financials Billing Edits and Billing Processes

Why work with us - At NetSource, we believe everyone has an opportunity to lead. We see the importance of your perspective and your ability to create value.

We want you to fit in with an inclusive culture, focus on work-life fit and well-being, and a supportive, connected environment;

but we also want you to stand out with opportunities to have a strategic impact, innovate, and take necessary steps to make your mark.

We help clients with new skilling, talent strategy, leadership development, employee experience, transformational change management and beyond.