Job Description

Job Description Rady Children's Hospital is looking for 3 Billing and Reimbursement Specialist to join their team to support an upcoming project. The Reimbursement Specialist is responsible for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. It is a requirement for the Reimbursement Specialist to make sure that the claims are clean and delivery tickets are accurate. Additionally this individual is responsible for inputting data into the systems, manually uploading claims, following up with AR and the payer to confirm receipt. Lastly if the claim is denied, the individual is responsible for resolving the issue themselves. This position is a 6 month contract with possible extension M-F 8:00am-4:30pm and can be done in a hybrid or remote setting. Equipment will be provided. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form ( . The EEOC "Know Your Rights" Poster is available here ( . To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: . Skills and Requirements - Strong Understanding of California DME(Durable Medical Equipment) medical billing  - Experience with HMO, PPO, capitated Payers, medicaid managed care payers  - Experience with 340B guidelines and reg, factor drug billing, compound drug, TPN Microsoft, outlook, teams, excel, word - 3 years of experience in home care pharmacy/infusion billing preferably in commercial  - Experience with Brightree CPR Plus null We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.

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