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Nicklaus Children’s Health System
Miami, Florida
UCLA
Goleta, California
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Billing Representative Revenue Cycle
JOB SUMMARYThe Billing Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation and Champus/Tricare.ESSENTIAL FUNCTIONS OF THE ROLEPerform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits.Perform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits.Communicate specific problems or concerns to Manager as appropriate.Review electronic claims transmission reports and resolves electronic
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