Key Facts

Remote From:

Alabama (USA) , California (USA)

Full time

English

Hard Skills

Billing Business Intelligence Tools Billing Inquiries Medical Record Management Insurance Policies

Other Skills

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Teamwork
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Detail Oriented
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Communication
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Problem Solving

Roles & Responsibilities

Knowledge of UB04 and CMS 1500 claim forms.
Understanding of government and commercial billing guidelines.
Experience with billing software and reporting tools.
Good communication skills for patient and insurance contact.

Requirements:

Ensure all claims are accurate and compliant before submission.
Bill services within timely filing deadlines.
Handle billing denials and identify trends to improve claim rates.
Generate and analyze billing reports daily.

FFAM 360 Staffing

Human Resources, Staffing & Recruiting

About FFAM 360 Staffing

At FFAM360 Staffing, we are revolutionizing the talent acquisition lifecycle using proprietary and analytically acute methods in order to search, identify, and screen candidates for our clients. Our innovative staffing solutions allow clients to find available professionals while skipping the burden of training and eliminating time-consuming oversight, all tasks that consume valuable time in your day. So whether your needs are determined by hours, days, or until further notice, FFAM360 Staffing can customize a staffing solution just for you.FFAM360 Staffing candidates are carefully researched, screened and selected utilizing a proprietary application that leverages Big Data, coupled with our Behavioral DNA and analytical screening tools utilized by our professional talent acquisition recruiters. And because we are located in and around major metropolitan cities, we have extensive populations of highly qualified candidates on a continuous basis. By taking a targeted approach, we match each employee’s unique skill sets for specific client needs. The combination of our unique approach consistently delivers a staffing & recruitment process that produces successful outcomes for our clients and is truly world-class.

Company type: SME

Industry: Human Resources, Staffing & Recruiting

Founded: 2018

Company size: 51 - 200

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Job description

Billing Specialist

Responsible for all pre-bill edits and claim scrubber edits for accuracy and compliance with all government and commercial carriers billing guidelines before releasing for submission to payers.
Responsible to bill all services within a timely filing as defined by departmental goals and insurance guidelines.
Responsible for all billing related denials to identify trends to improve clean claim rates.
Responsible for multiple daily reporting of billing indicators through various reporting tools
Bills hardcopy claims attaching any needed documentation for payment.
Pulls EOB's and Medical Records as needed attaching to claims and mailing.
Contact patients. insurance, any third party for insurance information or any additional billing data.
Performs rebill projects and additional daily reports.
Must understand and comply with the rules regarding edits.
Must possess a good working knowledge of the UB04 and CMS 1500 claim form and the data elements/field data required.
Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical billing practices.
Work and completes appropriate reports and work queues.
Escalate issues with payers and reports improvement as appropriate.
Complete special reports or projects as assigned by Supervisor/Manager or Director

Visit our website www.ffamstaffing.com to learn more about our organization. As a member of our team, you will benefit from free job placement and services including immediate access to FFAM 360 Staffing available job openings, resume review and critique, and interview preparation with valuable information about the culture of potential employers. We also offer referral fees for any candidates you refer and place with our clients.