Description:As a Biller/Adjustment Specialist, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. You will review requests for claim reconciliation and process appropriate adjustments.DutiesWhat you will doThird party insurance claim billing associated with the dispensing medication and using the bill method required by the payer.Transmit or submit claims (paper/electronic) to insurance payors for reimbursement.Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.Maintain supporting and chronological notes that detail action taken to resolve billing edits.Maintain patient demographic and insurance information and data collections systems, including all billing reports, work queues, or diversions according to payer and company policy guidelines.Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing.Contact patients, physician's offices or insurance carriers as needed in order to expedite billing claims.Process adjustments based information provided in work queues or requests submitted through other areas in the organization. ExperienceRequired Qualifications1 year of Healthcare Insurance Billing or related experience.Experience using Microsoft Office products specifically Excel, Outlook and Word.Preferred QualificationsInsurance billing or collections experience.Customer service in a healthcare environment.Experience working in a healthcare reimbursement system.Effective customer service skills and experience that shows ability to work in a team environment.Attention to detail.Ability to utilize analytical skills.Ability to communicate with clientele in a professional manner Position SummaryAs part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers. Located in the client location Facility, this opportunity also provides free parking. We will support you by offering all the tools and resources you need to be successful in a collaborative team-based environment. EducationVerifiable High School diploma or GED is required.Minimum 1 year experience performing healthcare reimbursement, pharmacy insurance/billing or related work.Ability to prioritize daily tasks.Working knowledge of medical terminology.Customer service skills with the ability to work in a team environment.Experience in MS Word, Excel and Outlook.Notes:Monday-Friday, 8:00AM-4:30PM EST, Hybrid position needs flexibilityOnsite as neededRequired to come in the office Tuesdays and Thursdays (every other week) for a total of 4x a month, but Willing to come onsite for business needs if that changes. VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
Description:
As a Biller/Adjustment Specialist, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance carriers. You will review requests for claim reconciliation and process appropriate adjustments.
DutiesWhat you will do
Third party insurance claim billing associated with the dispensing medication and using the bill method required by the payer.Transmit or submit claims (paper/electronic) to insurance payors for reimbursement.Resolve insurance problems and patient issues that may have resulted from incorrect or incomplete information, therapy changes and pharmacy or shipping errors.Maintain supporting and chronological notes that detail action taken to resolve billing edits.Maintain patient demographic and insurance information and data collections systems, including all billing reports, work queues, or diversions according to payer and company policy guidelines.Research and respond to insurance companies and governmental payors regarding billing issues or related questions by telephone, via the internet, and in writing.Contact patients, physician's offices or insurance carriers as needed in order to expedite billing claims.Process adjustments based information provided in work queues or requests submitted through other areas in the organization.
ExperienceRequired Qualifications1 year of Healthcare Insurance Billing or related experience.Experience using Microsoft Office products specifically Excel, Outlook and Word.Preferred QualificationsInsurance billing or collections experience.Customer service in a healthcare environment.Experience working in a healthcare reimbursement system.Effective customer service skills and experience that shows ability to work in a team environment.Attention to detail.Ability to utilize analytical skills.Ability to communicate with clientele in a professional manner
Position SummaryAs part of the billing and reimbursement team, you will work in a fast paced and team focused environment to ensure timely and accurate billing to insurance providers. Located in the client location Facility, this opportunity also provides free parking. We will support you by offering all the tools and resources you need to be successful in a collaborative team-based environment.
EducationVerifiable High School diploma or GED is required.
Minimum 1 year experience performing healthcare reimbursement, pharmacy insurance/billing or related work.Ability to prioritize daily tasks.Working knowledge of medical terminology.Customer service skills with the ability to work in a team environment.Experience in MS Word, Excel and Outlook.Notes:Monday-Friday, 8:00AM-4:30PM EST, Hybrid position needs flexibilityOnsite as needed
Required to come in the office Tuesdays and Thursdays (every other week) for a total of 4x a month, but Willing to come onsite for business needs if that changes.
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