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Specialist-Billing

Company: Baptist Memorial Health Care
Location: Jackson
Posted on: June 13, 2021

Job Description:

Job Summary
 
Responsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Handles internal and external questions to completion. Understands both paper and electronic claims as well as client invoice billing. Performs other duties as assigned.
 
Job Responsibilities
 
Handles telephone communication with patients, insurance companies and other BMG clinic or BMG Foundation personnel.
 
Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows
 
Reviews and/or processes all credit balances from supplied reports.
 
Works all insurance denials, via paper and/or electronic in work queues.
 
Monitors and processes all assigned electronic and/or paper claim status. i.g. claim edit and no response work queues.
 
Completes assigned goals

Specifications
 
 
Experience
 
Description Minimum Required Preferred/Desired  
 
Experience in the healthcare setting or educational coursework.
One or more years of government and/or commercial billing and collections in a physician or hospital setting.
 
Education
 
Description Minimum Required Preferred/Desired  
 
High School Dipolma or GED
Certification in medical billing or course work. Associates degree in Business, Finance, or related field.
 
Training
 
Description Minimum Required Preferred/Desired  
 
Basic computer and keyboarding skills.
MS Office and advanced phone system experience. Knowledge of insurance billing and collections guidelines, including payer systems such as FFS. Experience with Epic. Effective verbal and written communication skills. Effective customer service skills.
 
Special Skills
 
Description Minimum Required Preferred/Desired  
Licensure
 
Description Minimum Required Preferred/Desired

Keywords: Baptist Memorial Health Care, Jackson , Specialist-Billing, Other , Jackson, Mississippi

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