Third Party Billing Specialist

Job Details
The Third Party Billing Specialist reviews and updates third party claims (UB 04's and CMS 1500's) are reviewed and updated. Claims may then be transmitted electronically or submitted on hard copy, depending on third party payer capability. Follow-up, third party appeals and correspondence requirements will vary depending upon the financial class of the assigned accounts. Technical performance will be based on the degree of adherence to third party billing priority matrix, quality reviews and productivity standards. Some billing assignments may require Excel spreadsheet experience in order to prepare third party logs and special reports. The employee will be challenged to think, judge and set priorities independently with minimal supervision. Multiple computer software systems and applications will be utilized to complete daily tasks.
Education/Experience
High School Diploma with a higher education preferred.
Previous healthcare billing experience preferred but will provide technical training to qualified applicant.
Other Skills Required
Must be able to operate a PC in a Windows environment.
Able to type or keyboard 45 wpm preferred and ability to operate a calculator proficiently.
Familiarity with CPT and ICD coding systems and medical terminology is desirable.
Able to read and interpret technical bulletins and software documentation.
Able to analyze problems, collect data, establish facts and draw valid conclusions.
Able to understand and interpret technical concepts.
Must possess very strong communications and interpersonal skills, good telephone personality and must like working with people.
Able to work effectively in a fast-paced environment.
Must have a willingness to learn, interpret and apply new skills and take direction from other team members.
Able to organize information and manage time efficiently.
Physical Requirements: Sedentary office setting requiring good manual dexterity. Work involves typing, grasping, occasional stooping, kneeling, crouching, lifting up to 10 lbs, reaching, and the ability to move about the office to complete tasks. Must be able to work in an open office environment and possess visual and hearing acuity necessary to discern information from the telephone, computer, printed forms, as well as written and oral instructions from coworkers and others. .Requires repetitive motion of wrist, hands and fingers. Light lifting of files and manuals with some bending to file. Manual dexterity and ability to use both hands in a repetitive manner. Requires a stationary position for 80% of the work day. Dexterity with use of computer keyboard and writing implements. Light lifting of files and manuals with some bending to file.
Working Environment: Employee subject to inside environmental conditions. Clean, well lighted, central heat, central air conditioning. Work is performed in close proximity with others. Some noise level from office machines (printers, typewriters, telephones). Ergonomically correct work station.

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