Shire Jobs

Description We are offering a contract to hire employment opportunity for a Billing Specialist I to join our team in Costa Mesa, California. As a Billing Specialist I, you will be part of a dynamic team in the healthcare industry, working primarily on claims and customer service related tasks.

Responsibilities:

• Respond to inquiries related to claims, eligibility, and authorizations efficiently.

• Collaborate with diverse parties to ensure customer records are up-to-date.

• Guarantee accuracy in all tasks and report any issues promptly.

• Ensure all actions comply with regulatory guidelines and health plan requirements.

• Document actions taken, adhering strictly to HIPAA guidelines.

• Assist in providing customer service and work with providers/billing offices as needed.

• Maintain databases accurately and conduct audits as required.

• Process patient payments and follow up with insurance companies on outstanding or unpaid claims.

• Create and send statements to patients.

• Utilize various skills such as Microsoft Excel, Word, Database, Typing, Protocols, and others to perform duties effectively. Requirements • Proficiency in Customer Service and ability to handle customer inquiries and concerns effectively.

• Working knowledge of Microsoft Excel and Microsoft Word is essential.

• Experience in Database management, particularly related to billing.

• Experience in Audit procedures, specifically related to billing and claims.

• Familiarity with Billing procedures and Claim Administration.

• Fast and accurate Typing skills.

• Understanding of Protocols related to the role.

• Knowledge of HIPAA-Regulated procedures and protocols.

• Experience in handling Authorizations related to billing.

• Ability to Ensure Compliance with regulatory standards.

• Experience in liaising with Insurance Companies for claim settlement.

• Strong focus on ensuring Accuracy in all tasks.

• Prior experience in Medical Billing is highly desirable.

• Knowledge of Regulatory Compliance in the healthcare sector.

• Familiarity with CPT Codes, Medical Claims, and ICD-10.

• Experience with EMR - Electronic Medical Records is a plus.

• Understanding of Health Plan requirements and procedures.

• Knowledge of HCPCS Coding.

• Ability to handle Photocopying/Scanning documents as required.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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