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Job Summary:

Responsible for submitting claims to government payors (i.e. Medicare, Medi-Cal, CMS, Etc.), insurance companies, and private payors for services rendered to Lorian Home Systems, Inc. (LORIAN)’s patients and ensuring that payment on these claims is collected in an accurate and timely manner.

Qualifications

Successful completion of high school or commercial coursework including math, bookkeeping, and business.
Coursework in insurance billing (i.e. Medicare, Medicaid, private insurance companies), data processing, and medical terminology or equivalent experience necessary.
One year prior experience in billing of third party insurances for facility and professional services required.
Familiarity with form UB92 preferred.
Must be able to type 35 wpm and operate CRT and personal computer.
Must be able to bill third party insurance carriers electronically as well as by hard copy.
Must have knowledge of third party billing requirements. Must show maturity and professionalism in dealing with fellow employees and any individual or entity in a way that best represents LORIAN.
Good verbal and written skills are essential.
Ability to work under stress with interruptions and deadlines.
Ability to process verbal information and input this information into the computer system.
Ability to follow complex instructions.

Responsibilities

Prepares and submits LORIAN based claims to third party insurance carriers either electronically or by hard copy billing.
Secures needed medical documentation required or requested by third party insurances.
Follow up with third party insurance carriers on unpaid claims until claims are paid or proper closure is brought to the claim.
Processes rejections either by making accounts private and generating a letter of rejection to patient or by correcting any billing error(s) and resubmitting claims to third party insurance carriers.
Works with Quality Assurance and the Medical Records Department to ensure that correct diagnosis/procedures are reported to third party insurance carriers.
Keeps updated on all billing and benefit changes for third party insurance carriers.
Posts third party insurance remittance advice/explanation of benefits.
Monitors claims for missing information, authorization, and control numbers.
Maintains confidentiality of all information.
Completes work within authorized time to assure compliance with departmental standards.
Keeps updated on all third party billing requirements and changes for insurance types within their area of responsibility.
Demonstrates knowledge of, and supports, LORIAN’S mission, vision, standards, policies and procedures, operating instructions.
Performs such other duties as assigned.

POSITIONS AVAILABLE

BILLING SPECIALIST		SUBMIT RESUME
Job Summary: Responsible for submitting claims to government payors (i.e. Medicare, Medi-Cal, CMS, Etc.), insurance companies, and private payors for services rendered to Lorian Home Systems, Inc. (LORIAN)’s patients and ensuring that payment on these claims is collected in an accurate and timely manner. Qualifications Successful completion of high school or commercial coursework including math, bookkeeping, and business. Coursework in insurance billing (i.e. Medicare, Medicaid, private insurance companies), data processing, and medical terminology or equivalent experience necessary. One year prior experience in billing of third party insurances for facility and professional services required. Familiarity with form UB92 preferred. Must be able to type 35 wpm and operate CRT and personal computer. Must be able to bill third party insurance carriers electronically as well as by hard copy. Must have knowledge of third party billing requirements. Must show maturity and professionalism in dealing with fellow employees and any individual or entity in a way that best represents LORIAN. Good verbal and written skills are essential. Ability to work under stress with interruptions and deadlines. Ability to process verbal information and input this information into the computer system. Ability to follow complex instructions. Responsibilities Prepares and submits LORIAN based claims to third party insurance carriers either electronically or by hard copy billing. Secures needed medical documentation required or requested by third party insurances. Follow up with third party insurance carriers on unpaid claims until claims are paid or proper closure is brought to the claim. Processes rejections either by making accounts private and generating a letter of rejection to patient or by correcting any billing error(s) and resubmitting claims to third party insurance carriers. Works with Quality Assurance and the Medical Records Department to ensure that correct diagnosis/procedures are reported to third party insurance carriers. Keeps updated on all billing and benefit changes for third party insurance carriers. Posts third party insurance remittance advice/explanation of benefits. Monitors claims for missing information, authorization, and control numbers. Maintains confidentiality of all information. Completes work within authorized time to assure compliance with departmental standards. Keeps updated on all third party billing requirements and changes for insurance types within their area of responsibility. Demonstrates knowledge of, and supports, LORIAN’S mission, vision, standards, policies and procedures, operating instructions. Performs such other duties as assigned.
		SUBMIT RESUME