6 Billing Specialist I Jobs in Carlsbad, CA
Advanced Diabetes Supply is Hiring a Billing Specialist I Near Carlsbad, CA
Essential Functions
- Initiates Prior Authorization submissions and completes all follow-ups for all insurance Payors including Medicare Advantage, Medicaid, HMO, PPO, and Commercial until the case has reached a determination.
- Compiles pre-certification information to submit prior authorization requests via outbound phone calls and/or web-based sites (familiarity with payors).
- Performs regular follow-up calls with insurance companies to check the status of the prior authorization request. Logs approval in the database.
- Conducts outbound and/or inbound calls to patients, doctor’s offices, and insurance companies as necessary or required to complete tasks.
- Ensures proper documentation is received and recorded before processing additional supplies to patients, per compliance guidelines.
- Ensures accurate entry and update of changes as requested by physicians and/or patients.
- Maintains working knowledge of billing guidelines and resources for Medicare and Private Insurance.
- Recognizes and reviews billed orders to effectively request authorization for upcoming refills.
- Researches, follows up and resolves all open/pending Authorizations in a timely manner.
- Develops and maintains knowledge of all products and services offered by the company.
- Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
- Maintains accurate and detailed notes in the company system.
- Adapts quickly to frequent process changes and improvements.
- Is reliable, engaged, and provides feedback as to improve processes and policies.
- Attends all department, team, and company meetings as required.
- Appropriately routes incoming calls when necessary.
- Meets patient service quality standards.
- May perform any additional responsibilities or special projects as required.
- Duties and responsibilities may be subject to change based on the needs of the department.
Compensation Package
- Health, Dental & Vision options.
- FSA and HSA plan with Employer Contribution.
- Employer-paid EAP.
- 401k with a 4% Company Match.
- Discretionary Profit-Sharing Plan.
- Paid Time Off (PTO) Including 8 Paid Holidays.
- In-house Training Programs.
- A fun culture in a fast-growing organization!
- High School diploma or equivalent.
- Knowledge of insurance verification and/or authorization, billing, and processing claims.
- Basic knowledge of billing guidelines and resources for Medicare and Private insurance.
- Basic knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices.
- Proficiency in basic math and business calculations.
- Working knowledge of computer/data entry with the ability to learn new systems.
- Basic level of MS Office proficiency.
Expected Competencies
- Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations.
- Ability to work well in a team environment that promotes inclusiveness and communication among team members.
- Effective interpersonal skills.
- Clear diction and knowledge of the English language, both written and verbal.
- Detail oriented, highly organized; able to work at a fast, productive pace.
- Service orientation and aptitude to resolve insurance and/or patient matters.
- Self-directed accountability and reliability.
- Cultural competence.
Physical Demands
Other Requirements
- Candidates must successfully pass a background check.
- Candidates must be able to provide proof of eligibility to work in the United States.
Job Summary
Full Time
Retail
$48k-64k (estimate)
05/22/2023
05/14/2024
northcoastmed.com
CARLSBAD, CA
25 - 50
2002
Private
MARK M HOWARD
<$5M
Retail
Related Companies
About Advanced Diabetes Supply
Advanced Diabetes Supply is a provider of diabetes testing accessories for the health care industry.
The job skills required for Billing Specialist I include Billing, Data Entry, HIPAA, Leadership, Accountability, etc. Having related job skills and expertise will give you an advantage when applying to be a Billing Specialist I. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Billing Specialist I. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Billing Specialist I positions, which can be used as a reference in future career path planning. As a Billing Specialist I, it can be promoted into senior positions as a Billing Analyst II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Billing Specialist I. You can explore the career advancement for a Billing Specialist I below and select your interested title to get hiring information.
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Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Billing Specialist job description and responsibilities
Billing specialists prepare comprehensive and precise reports.
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billing specialists, which are also known as billing clerks, handle the payments and processing for doctors and patients.
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A billing specialist will need to learn quickly and pick up whatever new skills are necessary.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Billing Specialist jobs
Find relevant Billing Specialist jobs, and apply.
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Communicate as efficiently as possible.
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Make checklists and to-do lists.
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Teach calendar and time management skills.
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Look for Training and Learning Opportunities.
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