Under the direct supervision of the Revenue Cycle Manager, the Billing Specialist LOA will be responsible for reviewing eligible claims for submission to the State (LOA).
Essential Functions, Duties, and Responsibilities
Reviews eligible claims for compliance with State
Is responsible for understanding what qualifies as billable and non-billable for both Medical and dental claims
Processes full life of LOA claims. Which includes processing pending claims and then following up on approval and/or rejection
Validating/Confirming patient payments is a part of Billing meetings regarding loss of revenue due to missing payments
Works with Billing Claims Manager to come up with plans for aiding loss of revenue due to missing payments
Answers questions from patients and clerical staff regarding LOA/Uninsured issues or concerns
Conducts self in accordance with ZHC's employee handbook.
Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Performs other duties as assigned
Requirements
Knowledge, Skills, and Abilities
Knowledge of Microsoft Office, keyboarding, and use of electronic medical records
Ability to operate a computer and basic office equipment.
Skill in answering a telephone in a pleasant and helpful manner.
Ability to read, understand and follow oral and written instructions.
Ability to establish and maintain effective working relationships with patients, employees, and the public.
Must be well organized and detail oriented.
Learn and apply the trauma informed care principles with the scope of the position
Education, Training, and Experience
High School Diploma or GED
Salary Description
$19.50-$22.61 per hour
Numbers & Facts
Location
Dover, NJ
Salary
$19.50–$22.61 Per Hour
Skills
Billingunmatched
Claims Managementunmatched
Claims Processingunmatched
Detail Orientedunmatched
Electronic Medical Recordsunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
High School Diplomaunmatched
Medical Billingunmatched
Microsoft Officeunmatched
Office Equipmentunmatched
Organizational Skillsunmatched
Regulationsunmatched
Revenue Managementunmatched
Telephone Skillsunmatched
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