Blue Star Claims - Billing Specialist

Job Title: Billing Specialist

Location: Remote

Employment Type: Full-Time

Reports To: Billing Supervisor

Pay Rate: $18.00 to $20.00 per hour

Blue Star Claims LLC is a Third-Party Administrator specializing in multi-line Claims handling

throughout the United States. This is an excellent opportunity to work in a growing and dynamic

work environment. We believe in delivering a high-quality work product to our clients with emphasis

on communication and service. We believe in providing an environment where employees enjoy

coming to work every day, providing the resources needed to perform their job and assign

manageable caseloads.

Billing Specialist Job Description

The Occupational Accident Billing Specialists are responsible for the duties outlined below and will work together as a Team. They will follow company guidelines and procedures to properly handle all functions of their position. All Billing Specialists will back up each other during scheduled time out of the office and we ask that you coordinate with each other and the Billing Supervisor when possible.

Billing Specialists report to the Billing Supervisor.

Essential Functions and Responsibilities will include, but not be limited to:

• Accurately identify billed medical services to determine acceptance or denial
• Identify complex bills and forward to Claims Adjuster
• File maintenance – clean up as necessary
• Processing medical payments as well as disability payments to injured contractors-print checks timely
• Attach proper documentation for checks issuance and approval
• Track mailing number if expedited for special checks and items
• Deductible tracking
• Coordination of benefits
• Work the Billing-Unresolved document queue as assigned
• Perform special projects as needed
• Perform assignments from Billing Supervisor
• Audit file payments as requested
• Upload emails, faxes and mail following established protocol
• Label items in claim files following established protocols
• Take on additional tasks from Billing Supervisor as needed
• Ask for additional work when caught up
• Assists Claim Adjusters through Billing Supervisor direction
• Watch for Special Instruction Banners

• • Policy Expiration
  • Secondary status versus primary status
  • Previously paid
  • Duplicates and medical bill coding reviews
  • Items needing support
  • Auditing

Requirements:

• Strong attention to detail
• Strong organizational skills
• Strong customer service skills
• Ability to be a self-starter and organize your desk/daily priorities
• Ability to work in a team environment
• Strong communication skills both internally and externally
• Professional attitude and presentation to vendors as a representative of our company
• Analytic/interpretive skills
• Microsoft Office knowledge
• Financial knowledge (i.e. checks, administration of claim payments, tax-ID’s, etc.)
• Medical billing and health insurance knowledge

• Familiarize yourself with the occupational accident policies we administer
• Perform other duties as assigned
• Completion of our pre-employment assessment via the link below:

What We Offer:

• Medical, dental, and vision insurance
• 401(k) with company match
• Paid time off and holidays
• Professional development opportunities
• A supportive, collaborative work environment

Originally posted on Himalayas