CGP Billing Specialist Job at Century Group, San Francisco, CA

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  • Century Group
  • San Francisco, CA

Job Description

Century Group is excited to have partnered with a wonderful non-profit organization in San Francisco, to help them find an innovative and disciplined Billing Specialist to join their mission-driven team! Exact compensation may vary based on skills, experience, and location. Expected starting pay rate of $25.00 to $28.00 per hour.

Job Responsibilities:

  • Monitor charges to ensure correct payment of claims and capitation deductions.
  • Provide feedback to providers and front-end staff regarding data errors through tasking and emails.
  • Research and resolve claim, payment, and capitation issues to ensure accurate billing and reimbursements.
  • Respond to correspondence from payers and follow up on requests for additional information.
  • Stay current on industry updates by participating in educational activities and attending staff meetings.
Requirements:
  • 3 to 5+ years of experience in medical billing practices with a strong understanding of industry standards.
  • Knowledge of health care insurance claim practices, compliance, and regulations.
  • Proficiency in medical billing software and electronic health records (EHR) systems.
  • Strong analytical skills to identify and resolve discrepancies in claims and payments.
  • Ability to work in a fast-paced environment while maintaining attention to detail and accuracy.
Qualifications:
  • Strong written and verbal communication skills to effectively interact with providers, staff, and payers.
  • Ability to analyze claim data and identify patterns in payment discrepancies.
  • Excellent organizational and time management skills to handle multiple tasks efficiently.
  • Experience working with Medicare, Medicaid, and commercial insurance providers is a plus.
  • Problem-solving mindset with the ability to work independently and collaboratively within a team.

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