BioPhase Solutions specializes in recruiting top talented professionals for San Diego's Scientific community. We are currently looking for candidates in Data Management (Billing) to work for a leading San Diego County biotechnology company.
Data Management I (Billing Department)
The Data Management role is to maintain the system integrity by verifying and implementing updates to the systems while adhering to HIPAA guidelines and regulations.
Responsible for monitoring and tracking and communicating the system changes and updates to the Billing Department staff.
Responsible for providing quality assurance audits from the XIFIN File Maintenance Application.
Responsible for creating and fostering a positive work environment.
Reviews problematic system updates and makes recommendations to the Billing Department or Management.
Participate in educational activities and attends weekly staff meetings.
Ability to operate a computer and basic office equipment.
Ability to read, understand and follow oral and written instruction.
Must be well organized and detail- oriented.
Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
High School diploma or Ged required.
Insurance basics, PPO, HMO, POS, Capitation, Workers Comp, Mva
Government programs such as Medicare, Medicare HMO, Medicaid, Medicaid HMO, Tricare, Veterans Affairs, Blue Cross Blue Shield Federal
Certificate or degree in Health Care Management Field strongly recommended.
Minimum 1 year billing experience desired
BioPhase Solutions - 15 months ago