2 Billing Specialist I Jobs in Newport, CA
Newport Orthopedic Institute is Hiring a Billing Specialist I Near Newport, CA
LOCATION: Newport Beach, CA
POSITION SUMMARY: Entry Level Healthcare Billing Specialist will be responsible for assisting with billing activities, including verifying patient insurance coverage, tracking benefits, eligibility, and obtaining authorization for medical services. The individual will begin training in billing processes including charge review, edit resolution in both the Practice Management system and clearinghouse, and billing related tasks. Additionally, the individual will be developed and have assigned tasks relating to the review of accounts receivables as part of revenue cycle management and revenue assurance.
ESSENTIAL DUTIES & RESPONSIBILITIES:
- Verify patient insurance coverage and eligibility for medical services using electronic eligibility systems or by contacting insurance companies.
- Track and update patient benefit information, including copayments, deductibles, and coverage limitations.
- Obtain pre-authorizations or prior authorizations from insurance companies for medical services, procedures, and treatments as required.
- Communicate with healthcare providers, patients, and insurance companies to ensure timely authorization and approval of medical services.
- Maintain accurate documentation of authorization requests, approvals, and denials in accordance with healthcare regulations and organizational policies.
- Review patient medical records and treatment plans to obtain documentation that will support the medical necessity of requested services for authorization purposes.
- Collaborate with healthcare providers, administrative staff, and insurance representatives to resolve authorization-related issues and ensure compliance with payer requirements.
- Monitor and track authorization expirations and follow up on pending authorizations to prevent delays in patient care.
- Assist with billing inquiries from patients, insurance companies, and other stakeholders, providing support and information as needed.
- When assigned, assist in the billing processes including charge review, claim edit resolution, and other AR items including tasks for Revenue Cycle.
- Participate in training and continuing education opportunities to enhance knowledge of healthcare billing regulations and procedures.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this position. Duties, responsibilities, and activities may change at any time with or without notice.
QUALIFICATIONS:
- High school diploma or equivalent.
- Prior experience in healthcare administration/reception, billing, or insurance verification required.
REQUIRED SKILLS:
- Knowledge of medical terminology, healthcare billing processes, and insurance procedures.
- Strong attention to detail and accuracy with the ability to organize and prioritize tasks effectively.
- Excellent communication and interpersonal skills, with the ability to interact professionally with patients, healthcare providers, and team members.
- Proficient computer skills and familiarity with electronic health record (EHR) and electronic practice management (EPM)/billing software required.
- Ability to adapt to changing priorities and work effectively in a fast-paced environment.
- Commitment to maintaining patient confidentiality and adhering to HIPAA regulations.
PAY RANGE: $20-$24 per hour
Job Summary
Full Time
$48k-63k (estimate)
04/25/2024
06/23/2024
newportortho.com
Foothill Ranch, CA
100 - 200
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The job skills required for Billing Specialist I include Billing, Accounts Receivable, Attention to Detail, Confidentiality, HIPAA, 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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A billing specialist will need to learn quickly and pick up whatever new skills are necessary.
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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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