Insurance Billing Specialist - Abacus Service Corporation
Los Angeles, CA 90032
About the Job
Description:
Note to Suppliers: Each supplier may submit up to 3 candidates. Please ensure you present only your top candidates do not submit just to meet the quota.
Fieldglass Comments Section: Provide a snapshot of key information. (Do not include this on the resume.)
- Candidate's Location: Specify the city.
- Skillset Alignment: Highlight how the candidate's skills align with the role's requirements.
- Requested Time Off: Mention any requested time off, such as vacation.
- Work Authorization Status: Indicate the candidate's work authorization status.
Assignment Information:
Location: Remote OK; Local candidates will be prioritized.
Work Location: 2011 N. Soto St, Los Angeles, CA 90032
Campus or Medical Enterprise: Medical Enterprise
Job Title: Insurance Billing Specialist
Number of Positions: 3
Duration: 6 months, with a possible extension
Work Hours: 8 AM - 5 PM
Interview Process: 2-step video/Teams interview
Dress Code: Business Casual
Must-Haves for the Billing Specialist Role:
Minimum of two (2) years of experience in medical insurance billing: Experience should ideally be in facility billing to ensure familiarity with the relevant processes.
Experience with Soarian Financials: Proficiency in supporting billing edits and processes within Soarian Financials is essential for this role.
Strong understanding of billing and coding guidelines: The candidate must have a solid grasp of billing and coding regulations for government and non-government payers to ensure claims are properly billed.
Experience in claim resolution: Ability to review and resolve claim edits efficiently, ensuring claims are submitted within the 48-72 hour timeframe.
Coordination and communication skills: The ability to work with multiple internal departments (Compliance, Collections, Audit, Customer Service, HIM, etc.) and act as a liaison between the Revenue Cycle areas and the billing agency to resolve claim issues.
Attention to detail and timeliness: Must demonstrate professionalism and efficiency in all aspects of claim submission, rebilling, and resolution processes.
Summary:
A Billing Specialist maintains current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly. Responsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers; submits claims withing 48 72 hrs of creation date; responsible for coordinating rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas. May serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits. Conducts all duties in a professional and timely manner.
Minimum Education/Experience:
" Minimum two (2) years' experience in medical insurance billing required (preferably in facility billing)
" Soarian Financials experience required
Primary Accountabilities:
" Support Soarian Financials Billing Edits and Billing Processes
Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions.
Medical Enterprise - Non-Clinical Onboarding Requirements:
Background, Education, and Employment
Background Check:
Social Security Trace: 7 years worked and lived found by SSN Trace
County Criminal F&M: 7 years
Federal Criminal: 7 years
Widescreen Plus National Criminal Search
National Sex Offender Registry
Healthcare Sanctions State
OIG/SAM
Education:
HS Diploma (or equivalent GED)
Employment:
Verification of 3 Employers, with 2 out of 3 verified
Other Requirements:
HIPAA Training
Application
Temporary Worker Agreement
Harassment & Discrimination Pamphlet
Medical Requirements:
Immunizations:
MMR (Measles, Mumps, Rubella): Proof of immunity or series of 2 shots
Varicella (Chickenpox): Proof of immunity or series of 2 shots
Hepatitis B: Proof of immunity or series of 3 shots; worker can decline with a declination form on file
TB Test:
Annual test required; results must be read within 24 to 48 hours
Positive TB history requires chest x-ray results
Drug Screen:
Must be taken within 72 hours or the offer is rescinded.
10-panel drug test including:
o Amphetamines
o Barbiturates
o Benzodiazepines
o Cocaine metabolite
o Opiates (Codeine, Morphine)
o Hydrocodone
o Hydromorphone
o Oxycodone
o Phencyclidine
o Methadone
o Propoxyphene
Influenza Vaccination:
Required for the current flu season (11/1 through 5/30)
Workers starting after May 1st should wait until after September 1st for the next flu shot season
Accepts signed personal/medical exemption
COVID Vaccinations:
Fully vaccinated with Covid-23-24 Vaccine
Accepts signed religious/medical exemption
Note: All items are billable except for the drug screen.
Qualified Applicants with arrest or Conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act
Note to Suppliers: Each supplier may submit up to 3 candidates. Please ensure you present only your top candidates do not submit just to meet the quota.
Fieldglass Comments Section: Provide a snapshot of key information. (Do not include this on the resume.)
- Candidate's Location: Specify the city.
- Skillset Alignment: Highlight how the candidate's skills align with the role's requirements.
- Requested Time Off: Mention any requested time off, such as vacation.
- Work Authorization Status: Indicate the candidate's work authorization status.
Assignment Information:
Location: Remote OK; Local candidates will be prioritized.
Work Location: 2011 N. Soto St, Los Angeles, CA 90032
Campus or Medical Enterprise: Medical Enterprise
Job Title: Insurance Billing Specialist
Number of Positions: 3
Duration: 6 months, with a possible extension
Work Hours: 8 AM - 5 PM
Interview Process: 2-step video/Teams interview
Dress Code: Business Casual
Must-Haves for the Billing Specialist Role:
Minimum of two (2) years of experience in medical insurance billing: Experience should ideally be in facility billing to ensure familiarity with the relevant processes.
Experience with Soarian Financials: Proficiency in supporting billing edits and processes within Soarian Financials is essential for this role.
Strong understanding of billing and coding guidelines: The candidate must have a solid grasp of billing and coding regulations for government and non-government payers to ensure claims are properly billed.
Experience in claim resolution: Ability to review and resolve claim edits efficiently, ensuring claims are submitted within the 48-72 hour timeframe.
Coordination and communication skills: The ability to work with multiple internal departments (Compliance, Collections, Audit, Customer Service, HIM, etc.) and act as a liaison between the Revenue Cycle areas and the billing agency to resolve claim issues.
Attention to detail and timeliness: Must demonstrate professionalism and efficiency in all aspects of claim submission, rebilling, and resolution processes.
Summary:
A Billing Specialist maintains current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly. Responsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers; submits claims withing 48 72 hrs of creation date; responsible for coordinating rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas. May serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits. Conducts all duties in a professional and timely manner.
Minimum Education/Experience:
" Minimum two (2) years' experience in medical insurance billing required (preferably in facility billing)
" Soarian Financials experience required
Primary Accountabilities:
" Support Soarian Financials Billing Edits and Billing Processes
Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions.
Medical Enterprise - Non-Clinical Onboarding Requirements:
Background, Education, and Employment
Background Check:
Social Security Trace: 7 years worked and lived found by SSN Trace
County Criminal F&M: 7 years
Federal Criminal: 7 years
Widescreen Plus National Criminal Search
National Sex Offender Registry
Healthcare Sanctions State
OIG/SAM
Education:
HS Diploma (or equivalent GED)
Employment:
Verification of 3 Employers, with 2 out of 3 verified
Other Requirements:
HIPAA Training
Application
Temporary Worker Agreement
Harassment & Discrimination Pamphlet
Medical Requirements:
Immunizations:
MMR (Measles, Mumps, Rubella): Proof of immunity or series of 2 shots
Varicella (Chickenpox): Proof of immunity or series of 2 shots
Hepatitis B: Proof of immunity or series of 3 shots; worker can decline with a declination form on file
TB Test:
Annual test required; results must be read within 24 to 48 hours
Positive TB history requires chest x-ray results
Drug Screen:
Must be taken within 72 hours or the offer is rescinded.
10-panel drug test including:
o Amphetamines
o Barbiturates
o Benzodiazepines
o Cocaine metabolite
o Opiates (Codeine, Morphine)
o Hydrocodone
o Hydromorphone
o Oxycodone
o Phencyclidine
o Methadone
o Propoxyphene
Influenza Vaccination:
Required for the current flu season (11/1 through 5/30)
Workers starting after May 1st should wait until after September 1st for the next flu shot season
Accepts signed personal/medical exemption
COVID Vaccinations:
Fully vaccinated with Covid-23-24 Vaccine
Accepts signed religious/medical exemption
Note: All items are billable except for the drug screen.
Qualified Applicants with arrest or Conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act
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Insurance Billing Specialist | ||
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Information Technology | ||
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SEE JD | ||
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SEE JD | ||
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No | ||
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No | ||
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Yes | ||
|
SEE JD | ||
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No |
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Yes | ||
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Onshore Only |
Hours per Day | 8 |
---|---|
Hours per Week | 40 |
Total Hours | 3,096.00 |
Source : Abacus Service Corporation