Non-Clinical - Finance / Accounting - Billing Specialist

Shift : M-F 5 x 8 Days; traveler has the option to work between hours starting anywhere within 6A-9A and ending anywhere within14 : 30 (230P) and 1700 (500P) PST

Contract Length : 16 weeks with the possibility to extend or permanently hire

Fully Remote - candidate must live in PST zone

Requirements :

• H.S Diploma, GED or Equivalent
• 2 Years of Experience as a Healthcare Reimbursement Specialist
• Strong knowledge of Medi-Cal (Mcal) and Medi-Cal Managed Care Hospital billing (HB)
• Proficiency in microsoft products : Excel, Word and Outlook
• Ability to review denials / underpayments and know corrective actions to take based on the denial rationale and reason codes
• EPIC highly preferred

Job Description : Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing & collections of outstanding account balances for commercial, government, & managed care payors as assigned. The Reimbursement Specialist I is required to identify & report payor issues to their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret & apply complex payor contract language to expected reimbursement calculations & pursue all payments due to the organization. The Reimbursement Specialist I must perform account collection activities utilizing internet resources & professional telephone communication etiquette. The Reimbursement Specialist I is required to compose professional written correspondence with all internal & external entities.