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GENERAL SUMMARY:







The goal of the Bilingual Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims.




Foundation Knowledge, Skills, and/or Abilities Required:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.








Essential Duties and Responsibilities:








Spanish Bilingual

File claims using all appropriate forms and attachments

Handle Outbound calls and Maneuver between several different software systems

Research account denials and file written appeals, when necessary.

Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.

Ensure the integrity of each claim that is billed.

Document in detail all efforts in CUBS system and any other computer system necessary.

Verify patient information and benefits.








Additional Duties and Responsibilities:








Meet specified goals and objectives as assigned by management.

Maintain good working relationships with state and Federal agencies.

Resolve accounts in a timely manner.

Always maintain confidentiality of account information.

Adhere to the prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.

Maintain awareness of and actively participate in the Corporate Compliance Program.

Maintain a confidential and orderly remote work area.

Assist with other projects as assigned by management.











Educational/Vocational/Previous Experience Recommendations
:







High school diploma or equivalent is required.

Formal training in the specialty of Insurance Billing preferred.

Knowledge of all insurance payers preferred.

Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments

Ability to always present oneself in a courteous and professional manner

Ability to stay on task with little or no management supervision

Demonstrate initiative and creativity in fulfilling job responsibilities

Capacity to prioritize multiple tasks using time management and organizational skills.

Proficient PC knowledge and the ability to type 30-40 wpm.








W

orking Conditions
:






Remote work from home office, virtual Call Center environment.


Must be able to sit for extended periods of time.