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: https://www.ondemandassessment.com/link/index/JB-87PS9BLTA?u=93138

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