Randstad Billing Specialist in Somerville, Massachusetts
US$ 15 - US$ 18 per hour
Wednesday, October 12, 2016
Temp to Perm
Randstad USA Administration
DescriptionRandstad US in partnership with Partners Healthcare is hiring a Billing Specialist for a temp-to-perm position. The Billing Specialist reports to the Patient Accounts Manager and is responsible for the timely and accurate submission of billed claims (Primary and/or Secondary) to various payers.
The Billing Specialist will send claims via EDI, Direct Data Entry and paper claims and work EDI rejections.
This individual should have the ability to perform required tasks independently as well as contribute as needed in a team environment. They must also be able to perform effectively with a high degree of accuracy and productivity. This individual will also need to interact with various different departments.
Working hours: Monday-Friday 8:30-5
--Resolve and submit claims (both Primary and Secondary) on a daily basis that meet and/or exceed established Department Quality and Productivity standards.
--EDI transmitting and rejection review.
-- Direct Data Entry of claims
--Identify and resolve claim deficiencies and reference registration processes and system functionality in order to resolve and resubmit timely.
--Ability to work as team member while assuming individual responsibilities.
--Effectively update legacy system patient information and comment or post transaction codes appropriately.
--Identify specialty claims and initiate alternate billing processes
--Utilize all resources possible to obtain updated information including Payer websites; Payspan and NEHEN to verify eligibility whenever possible
--Initiate the correct action required whenever necessary resubmit in a timely fashion
--Escalate problems and issues promptly to Department leadership to expedite research/resolution
--High school diploma or equivalent required
--Prior patient accounting experience strongly preferred, preferably in a Hospital setting.
--Preferred knowledge and understanding of UB04 and 1500 claim forms and data fields.
--Preferred knowledge of electronic 837 claim files.
--Knowledge of Epic systems a plus
--Strong interpersonal skills required
--Ability to effectively communicate with employees throughout the PHS network
--Ability to identify problems and issues within daily billing processes
--Basic knowledge of MS Office, most importantly Outlook, Excel and Word, is required
--Knowledge of hospital billing is preferred
--Attention to detail a must
--Ability to multi-task required
--Accurately and productively perform high volume output on a daily basis
PLEASE SEND QUALIFIED RESUMES TO: firstname.lastname@example.org
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