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Billing Review Specialist

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Abacus Service Corporation

2mo ago

  • Job
    Full-time
    Entry, Junior, Mid, Senior & Expert Level
  • Clearwater

AI generated summary

  • You need a high school diploma, strong insurance knowledge, good communication skills, multitasking ability, a positive attitude, and preferably some medical field experience.
  • You will review billing, verify insurance, resolve patient issues, communicate with payors, maintain records, and assist team members while ensuring compliance and timely reporting.

Requirements

  • High School Diploma or General Education Degree (GED) Required
  • Past performance shows solid evidence of insurance qualifications and guidelines.
  • Knowledge of telephone etiquette and adequate oral and written communication skills.
  • Shows effective multitasking skills.
  • Positive and cooperative attitude in working and communicating with individuals at all levels of the organization.
  • Knowledge of medical field preferred.

Responsibilities

  • - Assures that all assigned reviews & company projects are completed timely and accurately according to the scope of work. Report any issues and or concerns timely to the Supervisor of the Centralized Billing Review team and or Manager of the Centralized Billing Review team.
  • - Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts.
  • - Understands payor requirements according to their policies.
  • - Ensures completion of all forms and collects complete billing information.
  • - Pursues, maintains, and communicates medical coverage/guideline changes/updates.
  • - Verifies insurance benefits and eligibility for patients.
  • - Communicates with patients to resolve billing issues and ensures timely payment.
  • - Maintains accurate and up-to-date patient records in compliance with HIPAA regulations.
  • - Works assigned reports accurately and timely.
  • - Helps facilitate interoffice communication on payor updates and trends.
  • - Completes any adjustments/transfers of AR as required.
  • - Documents all activity in customer's computer account or applicable applications.
  • - Answers billing review specialist questions accordingly.
  • - Reports issues and or concerns in a timely manner.
  • - Available to assist other billing review specialists on the team with questions or needs.
  • - Acts as liaison between staff and management.

FAQs

Do we support remote work?

No, this position is onsite at our Clearwater, Florida location.

What are the standard working hours for this position?

The standard working hours are Monday to Friday, from 8:00 AM to 4:30 PM.

Is prior experience required for this role?

No prior experience is required; candidates with 0 to 99 years of experience are encouraged to apply.

What is the duration of the contract for this position?

The contract duration is from July 22, 2024, to January 17, 2025.

What type of employment is being offered for this position?

This is a contractor position with contract-only hire type.

Is this position exempt or non-exempt?

This position is classified as non-exempt.

Are there any educational requirements for this job?

Yes, a High School Diploma or General Education Degree (GED) is required.

Will I need to contact payors?

Yes, you will be required to contact payors to discuss policy criteria or to ask clarifying questions on accounts.

What types of skills are necessary for this position?

Knowledge of telephone etiquette, effective oral and written communication skills, and multitasking abilities are required.

Is knowledge of the medical field preferred for this role?

Yes, knowledge of the medical field is preferred but not mandatory.

Abacus Service Corporation

Right Person. Right Price. Right Now.

Human Resources
Industry
201-500
Employees
2004
Founded Year

Mission & Purpose

Abacus Service Corporation is an award winning, national staffing company that provides outstanding matrix-based solutions to our clients. We support all industries with a specialized recruiting approach to meet the specific needs of our clients for Professional, Administrative, Engineering, Scientific and Information Technology labor categories. Our processes are well defined and lead to lower costs, lower turnover, higher productivity and compliance. Abacus’ culture is devoted to building a strong and lasting relationship with our employees, clients and the communities we serve. We are a certified minority and woman owned business that supports the building of a diverse workforce.