Talent.com
Bill Specialist I

Bill Specialist I

Crawford & CompanyAtlanta, GA, United States
4 hours ago
Job type
  • Full-time
Job description
  • A high school diploma or equivalent work experience is required.
  • Minimum of 2 or more years work experience demonstrating knowledge and use of CPT and ICD-9 codes and medical terminology in bill or claims processing environment.
  • ading comprehension skills and strong verbal and written communication skills are required as well as typing speed of 20 WPM and 8,500 numeric keystrokes per hour. Familiarity with HFCA and UB92 forms and windows environment. Must be able to work in a fast paced team environment, meet deadlines, achieve quality and production standards, problem solve and make decisions based on standard policies and procedures.
  • Access and verify claim numbers in multiple claim systems, review file notes and the Claim Summary Windows and identify the correct claim number and claim.
  • Review and interpret procedure codes (CPT), diagnosis codes (ICD-9), and nature of injury as indicated in the claim system to determine medical causality. Research claim information and authorize / pend bill for payment.
  • Document reasons for pending bills to the BCO or provider and indicate any specific jurisdictional requirements, indication of fraud, or further information needed for bill processing. Communicate to Supervisor any pertinent information (i.e. discrepancies found in files, etc) to ensure an accurate and productive working environment.
  • Identify employee and health privacy indicated claims and forward accordingly for appropriate processing.
  • Utilize internal forms and notes to communicate findings to Branch Claims Offices and providers. May maintain verbal communication to collect facts and provide information relating to the processing of the bill.
  • Access bill classification information to change Broadspire receipt date and account (BCO) receipt date.
  • Utilize windows to view and interpret images of bills and reports. Enter information required to complete bill adjudication. Apply bill / form types and research codes. Research bills returned from the Branch Claims Offices and Providers.
  • Assign resolution codes to complete bill processing.
  • Meet required Quality / Production Standards while maintaining turnaround on assigned states. Ensure accurate and efficient processing; accurately report bills processed daily.
  • May perform other duties as assigned.
  • A high school diploma or equivalent work experience is required.
  • Minimum of 2 or more years work experience demonstrating knowledge and use of CPT and ICD-9 codes and medical terminology in bill or claims processing environment.
  • ading comprehension skills and strong verbal and written communication skills are required as well as typing speed of 20 WPM and 8,500 numeric keystrokes per hour. Familiarity with HFCA and UB92 forms and windows environment. Must be able to work in a fast paced team environment, meet deadlines, achieve quality and production standards, problem solve and make decisions based on standard policies and procedures.
  • #LI-RG1

    Why Crawford?

    Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.

    At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.

    We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford : united in purpose, vision and values. Learn more at www.crawco.com.

    When you accept a job with Crawford, you become a part of the One Crawford family.

    Our total compensation plans provide each of our employees with far more than just a great salary

    • Pay and incentive plans that recognize performance excellence
    • Benefit programs that empower financial, physical, and mental wellness
    • Training programs that promote continuous learning and career progression while enhancing job performance
    • Sustainability programs that give back to the communities in which we live and work
    • A culture of respect, collaboration, entrepreneurial spirit and inclusion
    • Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M / F / D / V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and / or method without a valid written Statement of Work in place for this position from Crawford HR / Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

    Create a job alert for this search

    Specialist • Atlanta, GA, United States

    Related jobs
    • Promoted
    • New!
    Billing Specialist - Nalley BMW

    Billing Specialist - Nalley BMW

    Asbury AutomotiveDecatur, GA, United States
    Full-time
    Nalley Automotive is part of Asbury Automotive Group (NYSE : ABG) is a Fortune 500 company and one of the largest franchised automotive retailers in the United States. We are redefining the tradition...Show moreLast updated: 4 hours ago
    • Promoted
    ObGyn

    ObGyn

    CompHealthFayetteville, Georgia, US
    Full-time
    ObGyn physician employment in Georgia : Fayetteville has a downtown square that has undergone a transformation process, while welcoming a variety of new businesses. As they move further into the 21s...Show moreLast updated: 30+ days ago
    • Promoted
    Phlebotomist II - Float

    Phlebotomist II - Float

    Spectraforce TechnologiesFayetteville, GA, United States
    Full-time
    Title : Phlebotomist II - Float.Location : Fayetteville, Georgia, United States, 30214.Est - This position is for a floater so the hours would need to be flexible, but we can go with 8a-5p.The Patien...Show moreLast updated: 30+ days ago
    • Promoted
    ID Position Atlanta Metro Area

    ID Position Atlanta Metro Area

    HealthEcareers - ClientMableton, Georgia, United States
    Full-time
    Join a well-established ID practice affiliated with a large urban tertiary care center in Atlanta.Just south of the Atlanta airport. Rapidly growing inpatient and outpatient practice.ID consulting, ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    PowerBI Analyst - NW Metro Atlanta

    PowerBI Analyst - NW Metro Atlanta

    CFSCartersville, GA, US
    Full-time
    Reports To : Vice President of Sales.The PowerBI Analyst is responsible for developing and executing data visualization and reporting strategies that enhance decision-making and business performance...Show moreLast updated: 2 hours ago
    • Promoted
    Accounts Payable Specialist

    Accounts Payable Specialist

    CFSAustell, GA, US
    Full-time
    Fully On-Site Austell, GA | $24.Join a Legacy of Service and Innovation.For over 100 years, this Georgia-based company has played a vital role in powering progress across key industries-including c...Show moreLast updated: 28 days ago
    • Promoted
    Universal Associate

    Universal Associate

    Georgia United Credit UnionConyers, GA, United States
    Full-time
    The starting salary for this position is $.Welcome and directs members visiting the branch, creating a positive member experience from start to finish. Presents and explains credit union services an...Show moreLast updated: 1 day ago
    • Promoted
    Internal Medicine

    Internal Medicine

    The Inline GroupLithonia, Georgia, US
    Full-time
    Internal Medicine physician employment in Georgia : The Inline Group -.Average Patients seen : Varies.Compensation : - Base Salary + RVU + Quality Incentives + Long Term Incentive Plan.Benefits : -...Show moreLast updated: 30+ days ago
    • Promoted
    Collections Specialist

    Collections Specialist

    CFSMableton, GA, US
    Full-time
    Join a well-established, family-owned leader in the construction industry in the Mableton area.As the company continues to grow and integrate across divisions, we're seeking a.About the Collections...Show moreLast updated: 20 days ago
    • Promoted
    • New!
    Billing and Collections Specialist

    Billing and Collections Specialist

    Sunrise Pool Services IncBuford, GA, United States
    Full-time
    Career Advancement Opportunities.We are seeking a Billing and Collections Specialist to join our team! As a Bill and Account Collector, you will be making phone calls or sending emails to customers...Show moreLast updated: 4 hours ago
    Contract and Billing Specialist

    Contract and Billing Specialist

    NorthPoint Search GroupSmyrna, GA, US
    Full-time
    Quick Apply
    Contract and Billing Specialist Location : .Atlanta, GA Employment Type : Full-time Position Summary We are looking for a detail-oriented Contract and Billing Specialist to manage the setup and invo...Show moreLast updated: 30+ days ago
    • Promoted
    IRL Lab Director

    IRL Lab Director

    KA Recruiting Inc.Douglasville, GA, US
    Full-time +1
    IRL Lab Director opening at a beautiful facility in the Douglasville, GA area.MANY different shift options available!.Lab certification in specified job area. If you are interested in lear...Show moreLast updated: 30+ days ago
    • Promoted
    IR Tech

    IR Tech

    JobotFairburn, GA, US
    Full-time
    Atlanta IR Tech Needed - No Nights, Call, or Weekends!.This Jobot Job is hosted by : Lori Taggart.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Founded ...Show moreLast updated: 30+ days ago
    • Promoted
    Maintenance Tech II

    Maintenance Tech II

    Medline Industries - Transportation & OperationsMcDonough, GA, US
    Full-time
    Under minimal supervision, set up, adjust, perform preventative maintenance, troubleshoot, repair, and maintain assigned equipment with responsibility for production and quality.Perform preventive ...Show moreLast updated: 15 days ago
    • Promoted
    Bilingual Retail Sales Associate

    Bilingual Retail Sales Associate

    SPECTRUMDouglasville, GA, US
    Full-time +1
    This role requires the ability to work lawfully in the U.Plus, enjoy perks like free and discounted internet, TV, and mobile, all while paving the way for a long and rewarding career with us.Do you...Show moreLast updated: 16 days ago
    • Promoted
    IRL Tech III

    IRL Tech III

    KA Recruiting Inc.Douglasville, GA, US
    Full-time +1
    IRL Tech III opening at a beautiful facility in the Douglasville, GA area.Must be SBB or strong Blood Banker MT.MANY different shift options available!. Lab certification in specified job ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Billing Specialist

    Billing Specialist

    PDI TechnologiesAlpharetta, GA, United States
    Full-time
    At PDI Technologies, we empower some of the world's leading convenience retail and petroleum brands with cutting-edge technology solutions that drive growth and operational efficiency.By "Connectin...Show moreLast updated: 14 hours ago
    Billing Specialist

    Billing Specialist

    First AdvantageAtlanta, GA, US
    Full-time
    Quick Apply
    We are seeking an individual located in the United States.This is a Remote work from home position, and individual is required to reside and be authorized to work in the US.FA), ...Show moreLast updated: 28 days ago