PB Billing Specialist

1. 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.
2. Responsible to bill all services within a timely filing as defined by departmental goals and insurance guidelines.
3. Responsible for all billing related denials to identify trends to improve clean claim rates.
4. Responsible for multiple daily reporting of billing indicators through various reporting tools
5. Bills hardcopy claims attaching any needed documentation for payment.
6. Pulls EOB's and Medical Records as needed attaching to claims and mailing.
7. Contact patients. insurance, any third party for insurance information or any additional billing data.
8. Performs rebill projects and additional daily reports.
9. Must understand and comply with the rules regarding edits.
10. Must possess a good working knowledge of the UB04 and CMS 1500 claim form and the data elements/field data required.
11. Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical billing practices.
12. Work and completes appropriate reports and work queues.
13. Escalate issues with payers and reports improvement as appropriate.
14. 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.