Membership Administrator I - III, DOE
Cambia Health Solutions
Senior Physician Billing Specialist
Ensemble Health Partners
full-time
Posted on:
Origin: • 🇺🇸 United States • Ohio
Visit company websiteSalary
💰 $18 - $20 per hour
Job Level
Senior
About the role
- Reviews/Updates failed bills & claims on host system and within billing vendor
- Works daily electronic submissions (or 277's) resolving claim issues
- Monitors daily claims errors and resolutions providing recommendations on systems fix's going forward
- Works daily late charges & rebills
- Bills hardcopy claims attaching any needed documentation for payment
- Pulls EOB's and Medical Records as needed attaching to claims and mailing
- Contact patients, insurance, any third party for insurance information or any additional billing data
- Creates training documents/tests
- Train educate staff, providing testing
- Work absentee staffing desk's
Requirements
- 1 to 3 Years desired work experience
- High School Diploma, GED, or Equivalent Experience desired education
- 2 years of an accredited degree or equal experience
- Must also be CPB Certified
- Internal candidates must have achieved 100% productivity and 95 % quality assurance for the prior 3-month period
- Must have billing experience on multiple payers or a SME on one payer
- Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel
- Must pass typing test of 35 words per minute (error adjusted)
- Must be able to provide a mock training session for the interviewer(s)
