Billing Specialist

Community Health Systems, Inc
Moreno Valley, CA Full Time
POSTED ON 3/8/2024

JOB SUMMARY:

The Billing Specialist has the responsibility for accurate and timely preparation and submission of all claims (electronic and paper) to intermediaries and third party carriers.  This position will assist the management team with oversight of both the billing and cash application processes by serving as a liaison between the client and other departments. 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  1. Directly responsible for researching/handling questions regarding any eligibility or billing issues in a professional and timely manner.
  2. Responsible for keeping accurate information on all patient referrals payments to assure we need to pay them.
  3. Communicates through Nextgen on any errors or omissions to providers promptly, performs follow up and corrections ensuring timely filing of claims with insurance carriers.
  4. Responsible for reviewing all denied claims, timely follow up and files appeals on denial determinations as necessary.
  5. Notifies Finance Manager of any trends identified.
  6. Manages inbound calls from patients, healthcare center staff, and hospital personnel for inquiries on services provided, financial responsibility and insurance coverage issues.
  7. Assists with maintaining new and existing billing policy guidelines and documented procedures for medical billing.
  8. Call payers when necessary to determine how and where to send claims for payment.
  9. Generate billing spreadsheet when necessary.
  10. Balance daily cash received and maintain and update the Corporate Reconciling spreadsheet.
  11. Maintain weekly adjustment logs.
  12. Recognize and forward all incorrect payments to Finance Manager for follow up.
  13. Process patient refund requests.
  14. Perform all other duties as directed either formally or informally, verbally or in writing.

 

SUPERVISORY RESPONSIBILITIES:

No direct supervisory responsibilities

Salary.com Estimation for Billing Specialist in Moreno Valley, CA
$90,853 to $122,828
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

Sign up to receive alerts about other jobs with skills like those required for the Billing Specialist.

Click the checkbox next to the jobs that you are interested in.

  • Accounts Receivable Skill

    • Income Estimation: $75,336 - $105,995
    • Income Estimation: $78,154 - $108,307
  • Billing Skill

    • Income Estimation: $75,336 - $105,995
    • Income Estimation: $78,154 - $108,307
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Community Health Systems, Inc

Community Health Systems, Inc
Hired Organization Address Carlsbad, NM Full Time
Carlsbad Medical Center is seeking a Primary Care PA to join their new practice located in Artesia, NM . Outpatient only...
Community Health Systems, Inc
Hired Organization Address Bullhead, AZ Full Time
Western Arizona Regional Medical Center (WARMC) is seeking Nurse Practitioners and Physician Assistants for our primary ...
Community Health Systems, Inc
Hired Organization Address Fort Wayne, IN Full Time
Lutheran Health Network has multiple opportunities for urologists within the network providing the ability to tailor the...
Community Health Systems, Inc
Hired Organization Address Scranton, PA Full Time
Regional Hospital of Scranton is seeking a Primary Care Advanced Practitioner. Position Highlights: Employed, outpatient...

Not the job you're looking for? Here are some other Billing Specialist jobs in the Moreno Valley, CA area that may be a better fit.

Medical Billing Collector

medical billing, Temecula, CA

Billing Specialist

PRIME MEDICAL SUPPLY, INC, Corona, CA