Billing Specialist I in McLean, VA at APEX Systems

Date Posted: 5/11/2018

Job Snapshot

  • Employee Type:
  • Location:
    McLean, VA
  • Job Type:
  • Experience:
    Up to 2 year(s)
  • Date Posted:

Job Description

Job #:  838323

As a Billing Assistant, you are responsible for preparing and submitting claims for accounts and working in collaboration with nursing facility staff, physician offices, and insurance companies to ensure timely payment of online submission of claims.

Primary Responsibilities
- Review and research Third-Party claims, taking appropriate action to resolve.
- Work backlog of denied claims for timely resubmission.
- Manage assigned queues.
- Keep claims up-to-date and current.
- Manage specific denials, including new patient overrides.
- Follow all applicable government regulations, including HIPAA.
- Other duties as assigned.
  Position Summary: Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices.


  Duties: * Minimum 1 year experience performing healthcare reimbursement, medical insurance/billing or related work. * Minimum 1 year experience working with healthcare reimbursement systems. * Ability to prioritize daily tasks. * Working knowledge of medical terminology. * Customer service skills with the ability to work in a team environment. * Experience in MS Word, Excel and Outlook.


  Experience: Minimum (Required) Qualifications: (must be met in order to perform the job at the required level) Entry level position; 0-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization skills Must be highly organized and detail-oriented. Ability to work in a fast paced, rapidly changing environment Good computer skills requiring basic knowledge of Microsoft Word, Excel, PowerPoint, Outlook and good typing skills.










EEO Employer

Apex is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at or 844-463-6178.