Financial Clearance Specialist II

Company: Abacus Service Corporation
Location: Alhambra
Posted on: March 12, 2023

Job Description:

Description:
Assignment Details:
--- Job Title: Insurance Billing Specialist
--- Number of Needs: 1
--- Duration of Assignment: 13 weeks, per ME. This role has a high possibility to convert to an FTE.
--- Target Start Date: 4/3/2023 or ASAP
--- USC Address where work is being performed: 1000 S. Freemont Ave, Alhambra, 91803
--- Will this position be virtual, onsite, or hybrid?: 100 % on - site
--- If remote will USC be providing equipment? Onsite, USC provides equipment
--- Department: Patient Accounting
--- Parking / Cost: USC validates
---
--- Working Days/Hours: M-F 7am - 3:30pm
--- Dress Code: Business casual

--- Interview Process: 3 step interview process


Must Have:
High School Diploma
Billing and Coding experience 1-2 year minimum
Billing and Coding Certificate is a PLUS
Minimum three (3) years experience in medical insurance billing, facility billing preferred
Effective time management and the ability to prioritize work.
Excellent communication skills and the ability to interact with all levels of management, and staff

Job Description:
A Billing Specialist maintains current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly. Responsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers; bills claims withing 48 - 72 hrs of creation date; responsible for coordinating rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas. May serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits. Conducts all duties in a professional and timely manner.

Medical Enterprise - Non-Clinical Onboarding- Must complete all onboarding requirements prior to starting date, no exceptions

CORE - Background
COVID - 19 + Booster
Background
Social Security Trace
7 year worked and lived found by SSN Trace
County Criminal F&M - 7 year
Federal Criminal - 7 year
Widescreen Plus National Criminal Search
National Sex Offender Registry
Healthcare Sanctions - State
OIG/SAM
Application
Temporary Work Agreement
Harassment & Discrimination Pamphlet
Education - HS Diploma
Employment - 3 Employers - Must verify 2 out of 3
HIPAA

HEALTH/MEDICAL SCREENS
**Note: ALL IS BILLABE EXCEPT FOR DRUG SCREEN
1. Bloodwork (Titers) to show they are immune to MMR (Measles, Mumps and Rubella), Varicella (Chickenpox) & Hepatitis B.
Or in the event that they do not have this
- Provide proof they had injections (shot records):
- MMR - Series of 2
- Varicella - Series of 2
- Hepatitis B - series of 3
2. TB Test(yearly)
o Results must have millimeters of induration
o In case of positive TB history, must present chest x-ray results
***Note: QuantiFERON Gold can be used in place of the 2 step Tb test
3. Influenza Shot: Flu Season Vaccine will be required 10/1- 4/30
4. Drug Screen - 10 panel - Must be taken within 72 hours or the offer is rescinded







Shift Details/Expected Working Days and Hours
-




M-F 7am - 3:30pm







Hours per Day
8


Hours per Week
40


Total Hours
560.00

Keywords: Abacus Service Corporation, Alhambra , Financial Clearance Specialist II, Accounting, Auditing , Alhambra, California