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Billing Specialist - Oakland Area

Company: Rockport Healthcare Services
Location: Oakland
Posted on: November 25, 2022

Job Description:

Rockport Healthcare Services - Position Summary:
The Billing Specialist is a member of a Centralized Billing Office (CBO) and is responsible for coordinating the billing of claims received from the facility. -
-Essential Position Duties

Submits reimbursement claims to third parties (insurance health plans, government agencies, etc.) for services rendered at assigned facilities.
Ensures claims have the required information in the specified format. - Reviews claims for errors prior to submission.
Submits claims within the required timeframes to ensure consistent cash flow and reduce risk of technical denials for untimely filing.
Follows up on claims to ensure third party or government agency received the claim:

Electronic billing verification no less than 48-hours after claim submission
Hard copy billing no less than 14 days after claim mailed

Coordinates receipt of insurance authorizations with facility and maintains missing authorization log no less than weekly.

6. - - - - - Validates supporting documentation prior to submitting the claim including but not limited to balanced census, authorization, etc. -
7. - - - - - Reviews aging no less than monthly and identifies unpaid accounts. - Completes follow-up on all unpaid accounts monthly. -
8. - - - - - Records billing and collection notes in the account receivable software.

Responds to requests from various departments and facility staff. -
Responds to collection and audit requests timely.

11. - Performs other tasks or duties as assigned.
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- POSITION QUALIFICATIONS
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Core Competencies/Skill Sets

Ability to plan, organize, implement, and interpret the department goals, objectives, policies and procedures, etc. that are necessary to maintain a sound business operation.
Ability to read, interpret and analyze AR records and reports
Possess knowledge of reimbursement regulations as well as laws, regulations, and guidelines pertaining to healthcare.
Ability to work harmoniously with other personnel and develop/maintain good personnel relations and employee morale
Ability to work independently, to follow instructions, and to accept constructive feedback.
-Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Sufficient verbal and written communication skills to perform the tasks required.

-Professional Experience/Educational Requirements
1. - - - - - Two years SNF business office and billing experience.
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Keywords: Rockport Healthcare Services, Oakland , Billing Specialist - Oakland Area, Accounting, Auditing , Oakland, California

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