Software Guidance & Assistance, Inc., (SGA), is searching for a Patient Biller III for a contract assignment with one of our premier Healthcare clients in San Diego, CA. (% remote) Responsibilities : The Patient Biller III is responsible for the full range of insurance and self-pay accounts and department credit balances.. Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD, CPT, HCPCS, coding principles.. Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD, CPT, HCPCS coding principles.. Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's.. Preferred Skills: Epic Resolute experience.

biller

Software Guidance & Assistance, Inc., (SGA), is searching for a Patient Biller III for a contract assignment with one of our premier Healthcare clients in San Diego, CA. (% remote) Responsibilities : The Patient Biller III is responsible for the full range of insurance and self-pay accounts and department credit balances. Responds to billing inquiries from patients, insurance companies and departments. Identifies and resolves issues regarding account adjustments, re-billing insurance, and/or collecting from patients as appropriate. Extensive knowledge of medical insurance and State and Federal rules and regulations related to hospital billing Insurance Claims. Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD, CPT, HCPCS, coding principles. Knowledge in self-pay collections and mandated charity laws. Knowledge of medical/surgical terminology. Knowledge of accounting and cash handling principles and various billing documents and claim forms. Responsible to work system generated claims, edits, attaches records, operative reports and all system reports. Required Skills: Three () years of recent acute care hospital billing and collection experience. State and Federal rules and regulations related to billing Insurance Claims. Demonstrated knowledge in self-pay collections. Thorough knowledge of UB and revenue codes as it pertains to billing. Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD, CPT, HCPCS coding principles. Knowledge of Hospital payer contracts and reimbursement methodologies including but not limited to per diem, fee schedule, case rate and DRG's. Preferred Skills: Epic Resolute experience. UB experience. Previous hospital billing experience

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