Billing Specialist - Oakland Area
Company: Rockport Healthcare Services
Posted on: November 25, 2022
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
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
Follows up on claims to ensure third party or government agency
received the claim:
Electronic billing verification no less than 48-hours after claim
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
8. - - - - - Records billing and collection notes in the account
Responds to requests from various departments and facility staff.
Responds to collection and audit requests timely.
11. - Performs other tasks or duties as assigned.
- POSITION QUALIFICATIONS
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
Sufficient verbal and written communication skills to perform the
-Professional Experience/Educational Requirements
1. - - - - - Two years SNF business office and billing
Keywords: Rockport Healthcare Services, Oakland , Billing Specialist - Oakland Area, Accounting, Auditing , Oakland, California
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