Medical Billing Specialist I
Location
Ventura, CA | United States
Job description
About us:
Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private and public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems. Founded in March 1996, Tryfacta Inc. is one of the leading Staffing Services and IT Solutions Providers with a presence in all 50 States. Tryfacta is leveraging its strong industry domain knowledge to serve clients in many different industries. Tryfacta has Ranked number 2 as one of the fastest growing companies by Inc. Magazine (Inc. 5000) in the United States.
Position Title: Medical Billing Specialist I
Job Description Template:
Tryfacta is seeking a Medical Billing Specialist I for our client in Ventura, CA 93003 . This is a temporary contract assignment. If you meet the qualifications listed below and are interested, please Apply Now!
Highlights:
Position Title: Medical Billing Specialist I
Location: 5851 Thille Street, Ventura, CA 93003
Duration: 62 days
Work Schedule: Mon-Fri 8 am to 5pm
Responsibilities for this position include, but are not limited to:
Major Responsibilities:
Working on reports to adjust aged AR balances as well as working reports to identify invalid coverage and update encounters in Cerner with the correct coverage They will also be tasked with assisting the billing managers with other assignments as assigned.
Examples Of Duties
- 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.
To be considered for this position, you should have: [Skills, Education, or Experience]
Qualification Guidelines
- Working to thorough knowledge of: medical reimbursement programs and complexity of payment systems; Current Procedural Terminology Codes (CPT) codes, International Classification for Diseases (ICD)-10 codes, and Health Care Procedure Coding System (HCPCS) codes for payment processing of Medicare and/or Medi-Cal; Medi-Cal Provider Manual for Billing and Policy and Program and Eligibility; and the Treatment Authorization Request (TAR) process.
- Ability to demonstrate open and direct communication with peers, managers, patients, and payors; process bills accurately and receive prompt reimbursements; research accounts for overcharges, appropriate billing information, and appropriate payment methodology; evaluate and identify compliance and audit issues and work progressively with the compliance office to identify and resolve regulatory conflicts.
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.
- Vaccination is 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
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