Perm - Administrative - Billing Specialist (Varied) Coos Bay OR

Hourly Range: BR - BRSalary Range: BR,200 - BR,155.20Perm Placement Fee 19%Patient Accounts Billing SpecialistResponsible for timely and accurate billing of insurance claims for assigned payers, according to regulatory and payer requirements. Resolve billing edits to submit clean claims for all benefit orders. Monitors & resolves Medicare claims in Direct Data Entry (DDE), including claim corrections, claim cancellations and checking claims payment status. Monitors and resolves rejected claims timely. Identifies & reports ongoing charge and/or coding issues. Responsible for claim follow-up as assigned.SKILLS AND ABILITIESDemonstrates working knowledge of American National Standards Institute (ANSI) edits, National Correct Coding Institute (CCI) edits, Medically Unlikely Edits (MUE) and other regulatory and/or payer specific billing requirementsDemonstrates working knowledge of 837i and 837p claim formats, as well as UB04 and 1500 professional billing requirementsFamiliar with CPT, HCPCS, revenue codes and ICD-10 coding requirementsDemonstrates understanding of payer credentialing requirementsOrganizational skills that promote the ability to work well without direct supervision, manage time effectively and appropriately prioritize multiple assignments to meet project timelines.Effective collaboration and communication with a variety of individuals, both internal and external, including multidisciplinary teams.Ensures recommendations support adherence to all federal, state and other regulatory requirements.Demonstrates the ability to analyze and solve complex system problems, and ability to prioritize, manage and implement complex projectsEffective and professional communication skills, both in verbal and writtenExhibits the ability to maintain confidentiality, think and act independently with minimal supervisionAbility to use initiative and judgment skills in carrying out responsibilitiesFlexibility in job schedule to provide user support and advance project goals.Maintain regular, consistent and punctual attendance at the assigned job locationDemonstrates the ability to use a personal computer, office equipment and various software programs applicable to the positionRequirement description : By submitting your applicant to this need you are acknowledging that you have checked and have no inclination that your candidate has applied directly to this position. Any candidate that has applied directly is not eligible to be onboarded through and agency.EDUCATION/CERTIFICATIONS/LICENSES/DEGREESHigh School graduate or equivalent preferredAssociates or Bachelor's degree preferredHealthcare, customer service, change management, project management or process improvement certifications preferredEXPERIENCEMinimum of one year of experience in medical business officeMinimal knowledge of hospital and collection process in hospital and/or medical office settingExperience with EPIC, Soarian, EDM,MS4, ADT, claims, MIRA DSG, SSI, Experian, Craneware or other revenue cycle billing experience preferredExperience with 837i and or 837p and HIPAA transaction sets such as CPT,HCPCS, revenue codes, ICD9 and ICD10, CARC (Claim Adjustment Reason Code) or CAS (Claim Adjustment Segment) codes preferredExperience in Excel, Word and Power Point preferredWeekend Requirements : Possible