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Job Summary:

Responsible for overseeing the billing for Lorian Home Systems, Inc. for San Diego and the Las Vegas office. Ensures all billing is done in a timely and accurate 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.
Prepares the weekly planned billing to ensure we stay on track of our weekly goals.
Keeps track of any insurance or benefit changes that may take place while a patient is on service with LORIAN.
Posts third party insurance remittance advice/explanation of benefits, and reviews they to ensure they are claims are paid accurately.
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

MEDICAL BILLING SUPERVISOR		SUBMIT RESUME
Job Summary: Responsible for overseeing the billing for Lorian Home Systems, Inc. for San Diego and the Las Vegas office. Ensures all billing is done in a timely and accurate 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. Prepares the weekly planned billing to ensure we stay on track of our weekly goals. Keeps track of any insurance or benefit changes that may take place while a patient is on service with LORIAN. Posts third party insurance remittance advice/explanation of benefits, and reviews they to ensure they are claims are paid accurately. 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