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Paradigm · 6 days ago

Network Billing Associate

Tampa, FL

Full-time

Hybrid

New Grad, Entry Level

Paradigm is seeking a Network Billing Associate responsible for the intake, repricing, and processing of all network bills while adhering to established standards and practices. The role involves managing billing activities, ensuring compliance, and providing exceptional customer service to both internal and external customers.

Health CareHospitalMedical

Hiring Manager

James Delaney

Responsibilities

Manage the day-to-day billing activities

Ensure contractual and statutory billing compliance

Review and comprehend documentation, fee schedule calculations and savings output to clients with the ability to identify inconsistencies

Prepare and analyze billing for various facility using appropriate coding and utilizing State Statutes

Process appeals and reconsiderations

Document/update information in cases with high degree of accuracy

Complies with and adheres to all regulatory compliance areas, policies and procedures and best practices

Understand and comply with all HIPAA & SOC2 requirements necessary in working with designated PHI

Provide exceptional customer service to internal and external customers

Perform additional support functions as needed

Qualification

Medical billing experienceCPT codingICD10 codingHealthcare billing softwareMicrosoft Office proficiencyAttention to detailCommunication skillsWork independently

Required

Strong experience of medical insurance/healthcare billing in a medical clinic and/or healthcare system, institutional post-acute care provider or medical practice including workers' compensation, commercial insurance, CMS-Medicare and state Medicaid payor types

Effective skills in creating institutional provider billing from primary source charge data for Skilled Nursing Facilities, Long Term Acute Care Hospitals, Inpatient Rehabilitation Hospitals, Home Health Services in both commercial insurance and CMS-Medicare billing environments

Thorough knowledge and working experience with CPT, ICD10, MS-DRG, LTC-DRG, CMG, PDPM, HHRG bill coding systems, UB and HCFA claim forms and correct data field entries for all fields on both standard billing documents, medical terminology, and billing regulations

Prior experience interacting with healthcare provider billing software and healthcare billing coding resource databases

Excellent communication skills both written and verbal, and internal personal skills

Ability to work independently

Acute attention to detail

Proficient in all Microsoft Office and computer application systems