Job Description

The Billing Review Specialist assures that all assigned reviews & company projects are completed timely and accurately according to the scope of work. Report any issues and or concerns timely to the Supervisor of the Centralized Billing Review team and or Manager of the Centralized Billing Review team.

Qualifications:

• High School Diploma or General Education Degree (GED) Required

• Past performance shows solid evidence of insurance qualifications and guidelines

• Knowledge of telephone etiquette and adequate oral and written communication skills

• Shows effective multitasking skills

• Positive and cooperative attitude in working and communicating with individuals at all levels of the organization

• Knowledge of medical field preferred

  Billing Review Specialist Responsibilities:

• Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts

• Understands payor requirements according to their policies

• Ensures completion of all forms and collects complete billing information

• Pursues, maintains, and communicates medical coverage/guideline changes/updates

• Verifies insurance benefits and eligibility for patients

• Communicates with patients to resolve billing issues and ensures timely payment

• Maintains accurate and up-to-date patient records in compliance with HIPAA regulations

• Works assigned reports accurately and timely

• Helps facilitate interoffice communication on payor updates and trends

• Completes any adjustments/transfers of AR as required

• Documents all activity in customer's computer account or applicable applications

• Answers billing review specialist questions accordingly

• Reports issues and or concerns in a timely manner

• Available to assist other billing review specialists on the team with questions or needs

• Acts as liaison between staff and management
  • **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
  • **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**

Benefits:

For information and details on employment benefits offered with this position, please visit . Should you have any questions/concerns, please contact our HR Department via our secure .

California Pay Equity:

For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website .

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, .

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

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