Third-Party Billing Specialist at Progenesis
La Jolla, CA 92037, USA -
Full Time


Start Date

Immediate

Expiry Date

04 Dec, 25

Salary

25.0

Posted On

05 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Health Insurance, Life Insurance, Dental Insurance, Vision Insurance, Spanish, Adherence, English, Numbers, Typing

Industry

Accounting

Description

QUALIFICATIONS

  • Proven experience as billing specialist and accounts receivable.
  • Adherence to laws and best practices in regards to dealing with customers and data.
  • Comfortable dealing with numbers and the processing of financial information.
  • Excellent knowledge of MS Office (particularly Excel) and ER software (JDE or other).
  • Proficiency in English.
  • Results-driven.
  • Patient-oriented.
  • High degree of attention to detail and trustworthiness.
  • High School Diploma required.
  • Fluent in Spanish is highly desirable.

PHYSICAL REQUIREMENTS

  • Repetitive movement of hands, arms, legs and fingers (typing and/or writing).
  • Exposure to general office environment conditions.
  • Sitting, with occasional walking, standing, stooping and moving about.
  • Occasionally required to lift up to 25 pounds.
    Job Type: Full-time
    Pay: $25.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Work Location: In perso

Responsibilities

Include the following. Other duties may be assigned.

  • Prepares and submits claims to third-party benefits and other payers, including reviewing patient information, verifying coverage, and ensuring proper medical codes are used.
  • Resolves claim denials by identifying the reasons for denial and submitting supporting documentation to ensure claims are processed accurately.
  • Issues and posts bills, receipts, and invoices; manages the posting of payments from third-party benefits and accounts receivable; and follows up on outstanding balances.
  • Receives and sorts incoming payments with attention to accuracy and credibility.
  • Updates accounts receivable database with new accounts or missed payments.
  • Monitors the status of accounts and balances, identifying and correcting inconsistencies.
  • Provides solutions to any relevant problems of clients.
  • Communicates with clients to ensure they remain informed about outstanding debts and deadlines.
  • Prepares clear and reliable reports on billing activity, ensuring accuracy of data.
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