ChulaVistaRecruiter Since 2001
the smart solution for Chula Vista jobs

Pre Billing Specialist (Reimbursement) in San Diego, CA

Company: American Medical Response
Location: San Diego
Posted on: May 24, 2019

Job Description:



Requisition ID



US-CA-San Diego

Employment Type

Regular Full-Time


Job Title: Pre-Billing Specialist (Reimbursements)

Reports To: Supervisor- Billing

Department: Administration

Location: San Diego

FLSA Status: Non-exempt


The Reimbursement Specialist (RS) reviews the Computer Aided Dispatch (CAD) queue and San Diego Health information Exchange (HIE)for clarity of patient demographics, billing information, supporting documentation, and information surrounding the patient encounter prior to unit dispatch. The RS will work closely with billing personnel as well to improve quality of data gathering relating to pre-billing authorizations. The RS will also assist patients with appeals to their insurance when claims are denied.

Essential Duties and Responsibilities:

* Use the San Diego Health Information Exchange system to obtain patient demographics and billing information.

* Assist patients through appeals to their insurance for claims that are denied.

* Search other approved systems for additional patient demographics and insurance information to reinforce crew-captured data.

* Search, as applicable or in addition to the Pre-Billing Specialist s system, the Jaguar billing system for pre-existing account. Provide mechanism to update the account or create a new account as necessary.

* Process customer complaints quickly by receiving, investigating, redirecting or, resolving the issue.

* Convey an attitude of intolerance for unprofessional behavior.

* Develop and sustain excellent working relationships with AMR professionals (e.g., Operations, PBS, Business Development, IT and Finance), as well as with the Company s clients, payors, consultants, banks and financial intermediaries and government agencies.

* Adhere to all company policies and procedures.

* Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures, attend Information Systems security training, and report information systems security problems if identified.

* Complete other duties as assigned.

Non-Essential Duties and Responsibilities:

* Communicate a willingness to help others succeed.

* Demonstrate and promote a spirit of teamwork and cooperation.

* Convey and inspire a sense of competence and commitment.

* Use initiative to learn new skills, enhance personal knowledge and improve communications.

* Demonstrate an ability to communicate and work well with others (e.g., customers, facilities, AMR Operations, and payors).

* Seek opportunities to improve the work environment.

* Perform other duties as assigned.

Minimum Qualifications:

Education/Licensing/Certification: High School diploma or GED required; EMT certification/licensure or medical experience preferred.

5 years experience conducting extensive pre-billing processes, including research, resolution and payor contacts, demonstrated ability to function effectively in a high performance, high call volume billing environment. Demonstrated ability to function within multiple payor platforms including San Diego, Medicare, HMO s, SNF/IFT, private pays and hospital specific payor plans across multiple states.

Experience: Work with computer programs and software preferred; work with general public preferred; experience in medical industry preferred. 5 years experience as pre-biller.

Knowledge & Skills:

* Above average knowledge of medical and insurance industry terminology.

* Above average understanding of HIPAA, Sarbanes-Oxley and other critical governmental regulations within one (1) month of hire date.

* Maintain working knowledge of various tools including but not limited to basic Microsoft Office software, QWERTY keyboard use, basic computer function.

* Communicate clearly in English, both verbally and in writing, to convey information distinctly and concisely. Use appropriate grammar and punctuation in written documents.


EOE including Veterans and Disabled


Keywords: American Medical Response, Chula Vista , Pre Billing Specialist (Reimbursement) in San Diego, CA, Accounting, Auditing , San Diego, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Accounting, Auditing Jobs

Work for Weekend Cash - Drive with Uber
Description: Drive with Uber and earn money anytime it works for you. Driving is an easy way to earn extra, and it s totally flexible around your schedule. You decide when and how much you drive.What you need to know: (more...)
Company: Uber Driver Partners
Location: Spring Valley
Posted on: 06/20/2019

Description: Incredible position available in growing, stable, family oriented organization. This beverage company has urgent
Location: San Diego
Posted on: 06/20/2019

Senior Corporate Paralegal - Commercial Lending Transactions
Description: Are you interested in working for one of Fortunes ranked Best Companies to Work For Our client is a global, top-tier AmLaw ranked
Company: JW Michaels
Location: San Diego
Posted on: 06/21/2019

$47,000 Construction Bookkeeper - Family Oriented
Description: This Up To 47,000 Construction Bookkeeper Position Features: br Family Oriented br Work Directly With Management
Location: Vista
Posted on: 06/20/2019

Merrill Edge Financial Solutions Advisor - Grantville Financial Center - San Diego, CA
Description: Job Description:At Bank of America, we're creating real, meaningful relationships with individuals and businesses across the country. --Each day, we connect with 67 million clients through a growing specialist (more...)
Company: Bank of America
Location: San Diego
Posted on: 06/20/2019

Tax Counsel
Description: POSITION OVERVIEW: br br br Provides advice and counsel on tax issues globally in order to minimize Parsons Corporation s worldwide tax burden. Typical responsibilities include: br br Actively (more...)
Company: Parsons Corp.
Location: Pasadena
Posted on: 06/21/2019

Contract Recruiter - Accounting and Finance
Description: BaronHR Technical is recruiting for a Contract Recruiter/ Finance and Accounting to work for a large company in the North County area of San Diego. br br Long term contract br br Must work on (more...)
Company: BaronHR Technical
Location: San Diego
Posted on: 06/20/2019

Director of Accounting
Description: Director of Accounting The Director of Accounting position will serve as head of the accounting function for the company rsquo s largest division, which is comprised of multiple business units. The Director (more...)
Company: Advantage Solutions
Location: Irvine
Posted on: 06/21/2019

$40K-Accounts Payable Specialist
Description: This Accounts Payable Specialist Position Features: br Opportunity For Advancement br Competitive Salary br Great
Location: Vista
Posted on: 06/20/2019

Financial Advisor Associate
Description: Financial Advisor Associate Job Description The Morgan Stanley Financial Advisor Associate FAA Program prepares ambitious self-starters to become Financial Advisors through intensive training and development. (more...)
Company: Morgan Stanley Wealth Management
Location: San Diego
Posted on: 06/20/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Chula Vista RSS job feeds