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Form of workJob Description
Tryfacta is hiring Position
Tryfacta is a leading, nationally renowned Workforce Solution provider for private & public sector firms across the US. For 25 years+, we have provided workforce services and solutions in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems.
Tryfacta is accredited/ certified by the Joint Commission for Healthcare Staffing Services. We comply with the highest national standards for safety and quality of care and are committed to improving patient care.
Tryfacta is seeking a Medical Billing Specialist I for our clients in Ventura, CA, 93003. This role is an 18 days contract assignment.
Pay Rate: $22.50/hr.
Schedule: Monday to Friday, 8 AM to 5 PM
Bilingual in Spanish required
Job Duties
Medical Billing Specialist I is the entry level in this series. Incumbents work under supervision of higher level Medical Billing Specialists and with established guidelines.
Major Responsibilities: This project is to review self-pay encounters showing a copay credit amount. The employee will be reviewing payer EOBs against the billed charges and payments received, to determine if a refund is due to the patient or if an encounter was over adjusted or the insurance did not apply a copay.
EXAMPLES OF DUTIES:
Duties may include but are not limited to the following:
- Reviews and analyzes bills as they come off the system and bills/transmits them in a timely manner to the appropriate intermediary.
- Ensures accuracy and compliance with billing, coding, and follow-up requirements and identifies overpayments and lack of documentation issues.
- Maintains work queue with backlog to 46 hours of receipt only.
- Reviews and follows up on denial codes transmitted to providers for potential reimbursement on claims.
- Provides information to payors and ensures that reimbursement is received.
- Gathers, compiles, and analyzes billing and statistical analysis.
- Prepares bills and claims and transmits them on a timely basis.
- Performs other related duties as required.
Job Requirements [Skills, Education, &/or Experience]
Education/Experience:
Any combination of education and experience which has led to the acquisition of the required knowledge, skills, and abilities. The required knowledge, skills, and abilities can typically be obtained by hands-on working knowledge and experience in a medical complex comparable to the Ventura County Medical Center and affiliated clinics.
An Associate's or Bachelor's degree in a business related field is desired.
Minimum of six (6) months of Medical Billing experience required.
TAG=IND-GEN
Tryfacta is an Equal Opportunity-Affirmative Action Employer. We do not discriminate on the basis of Minority / Female / Disability / Veteran / Gender Identity / Sexual Orientation / Age
