Billing Specialist

Position: Billing Specialist Duration: 6 Month Contract Location: 100% Remote Must Have's: • Two (5) years' experience in billing and collections, preferably in a Critical Access Hospital and Rural Health Clinic and setting • Must have Cerner Revenue Cycle Experience (Currently on Cerner Millenium) • Working knowledge of Medicare/Medicaid guidelines and Institutional (UB04) Billing Requirements • Working knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding Summary: The Billing Specialist, under the direction of a Billing Manager, reviews and submits clean claims to primary, secondary and tertiary carriers for all facilities in which the Shared Services Center-Fort Smith provides service. This position maintains billing payer requirements for both Government and Non-Government payers. • Review of insurance information, demographics, authorizations, charge adjustments and coding information for validity. (40%) • Send requests to facility/internal to resolve barriers of clean claim submission and obtain required documentation needed for specific paper claim submission. (30%) • Review insurance websites, contact payers and/or employers to ensure insurance information/authorizations/claim numbers are valid. (10%) • Review of payer rejections and keying claims on websites. (10%) • Proper noting of accounts and requests sent to facilities. (10%) Qualifications: Required Education: High School Diploma or Equivalent Required Experience: 1 year of experience in healthcare revenue cycle or business office Preferred Experience: 1 year of experience in healthcare revenue cycle or business office focused including insurance medical billing Required License/Registration/Certificate: None Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of notes on account and responses from facilities and be able to make clear decisions when submitting claims. Computer Skills: To perform this job successfully, an individual should have knowledge of SSI, EDI Tracker, Insurance Websites, Host Systems (DAR/MedHost), Workflow tools (Artiva/CIQ) and Microsoft Processing software, Spreadsheet software and Database software. Apply tot his job Apply To this Job