Vista Health System
Join to apply for the
Medicaid Billing Specialist
role at
Vista Health System . Under the direction of the Director of Revenue Cycle or designee, the Medicaid Billing Specialist ensures all traditional Medicaid and Medicaid Managed Care claims are reviewed for claim edits, claim submission, and timely follow-up. Responsibilities
Validate and correct UB04 claims, resolving all edits before submission. Review claims for missing modifiers, charges, and implants before submission. Ensure pharmacy quantities are accurately reflected on claims. Validate billing against coding abstracts for accuracy. Review 24 and 72-hour admission reports, combining claims as needed. Split inpatient claims appropriately, following carrier guidelines. Submit claims with proper remarks and attachments. Run insurance eligibility checks as needed. Perform other billing tasks within skillsets and abilities. Requirements
High School Diploma or equivalent; Associate's Degree or some college preferred. Minimum 2 years of Medicaid billing experience in an acute care facility. Knowledge of CPT and ICD-10 codes. Understanding of Federal, State, Commercial, and County billing guidelines. Salary: $20 - $35 per hour Seniority level
Entry level Employment type
Full-time Job function
Accounting/Auditing and Finance Industries
Hospitals and Health Care This job is active and not expired. #J-18808-Ljbffr
Medicaid Billing Specialist
role at
Vista Health System . Under the direction of the Director of Revenue Cycle or designee, the Medicaid Billing Specialist ensures all traditional Medicaid and Medicaid Managed Care claims are reviewed for claim edits, claim submission, and timely follow-up. Responsibilities
Validate and correct UB04 claims, resolving all edits before submission. Review claims for missing modifiers, charges, and implants before submission. Ensure pharmacy quantities are accurately reflected on claims. Validate billing against coding abstracts for accuracy. Review 24 and 72-hour admission reports, combining claims as needed. Split inpatient claims appropriately, following carrier guidelines. Submit claims with proper remarks and attachments. Run insurance eligibility checks as needed. Perform other billing tasks within skillsets and abilities. Requirements
High School Diploma or equivalent; Associate's Degree or some college preferred. Minimum 2 years of Medicaid billing experience in an acute care facility. Knowledge of CPT and ICD-10 codes. Understanding of Federal, State, Commercial, and County billing guidelines. Salary: $20 - $35 per hour Seniority level
Entry level Employment type
Full-time Job function
Accounting/Auditing and Finance Industries
Hospitals and Health Care This job is active and not expired. #J-18808-Ljbffr