Billing Specialist I

Title: Billing Specialist I - CA
Location: Costa Mesa, CA 92626
Type: Contract
Duration: 3 Months
Start Date: 01/02/2024
Positions: 1
Schedule: Mon-Fri - 7 am – 830 am and end 330 pm – 5 pm

Job Summary:
The Claims Billing Specialist is responsible for responding to inquiries related to claims, eligibility, and authorization and working with multiple parties to ensure records are up to date.
Responsibilities:

• Ensures accuracy, reports issues and works to resolve.
• Ensures compliance and regulatory guidelines and health plan requirements are met.
• Documents actions taken following HIPAA guidelines.
• May assist in providing customer service, member services, and others in working with providers/billing offices when needed.
• May also maintain databases, audit information and works with patients to process patient payment.
• May follow up with insurance companies on outstanding or unpaid claims, create/send statements to patients.
• Performs other duties as assigned.

Required Skills:

• 1+ years of experience in medical claims/billing
• Must have experience in healthcare provider billing in a hospital/clinical setting
• Experience in and knowledge of all medical billing protocols including HCPCS, ICD-10, and CPT codes as well as EMR system experience.
• Proficient in Microsoft Word, Excel, Typing/Data Entry

Education:

• High School Graduate or equivalent required