Billing Specialist

North Sunflower Medical Center; Ruleville (MS); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Blue Cross Blue Shield

State Retirement

Vacation

Holidays

Sick Time

Vision

Short and Long Term Disability

Discount Employee Pharmacy Program at 

Clinic Visits at no cost to full-time

Job summary

North Sunflower Medical Center, located in Ruleville, MS, seeks a qualified Medical Billing Clerk to manage claim submissions and follow-ups with insurance entities. The role requires handling patient inquiries, resolving billing questions, and maintaining strict patient privacy in line with HIPAA regulations.

Responsibilities include submitting clean claims, reviewing statements, tracking delinquent accounts, and performing routine collection activities while delivering excellent customer

Qualifications

• Knowledge of medical billing and collection practices.
• Knowledge of computer programs.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third party operating procedures and practices.

Responsibilities

• Prepare and submit claims to insurance companies electronically or by paper.
• Answer questions from patients, insurance companies and staff.
• Identify and resolve billing complaints from patients.
• Prepare, review and send patient statements.
• Follow and report delinquent account status.
• Perform collection actions including contacting patients and resubmitting claims.
• Attend monthly staff meetings and participate in education.
• Maintain confidentiality per employee manual and HIPAA guidelines.

Skills

Medical billing

HIPAA compliance

Customer service

Computer literacy

Phone etiquette

Organization

Communication

Privacy & confidentiality

Job description

Responsible for submitting claims and following up with insurance companies.

Job Functions

• Prepare and submit clean claims to various insurance companies either electronically or by paper.
• Answer questions from patients, insurance companies and clerical staff.
• Identify and resolve patient billing complaints.
• Prepare, review and send patient statements.
• Follow and report status of delinquent accounts.
• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Participate in educational activities and attend monthly staff meetings.
• Conducts self in accordance with North Sunflower Medical Center's employee manual.
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations

Skills/Experience

• Knowledge of medical billing and collection practices.
• Knowledge of computer programs.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third party operating procedures and practices.
• Ability to operate a computer and basic office equipment.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees and the public.
• Must be well organized and detail oriented.
• Exemplify excellent customer service with patients, visitors and other employees to show courtesy, friendliness, helpfulness, and respect.
• Maintain and ensure patient privacy and confidentiality.
• Take initiative to be proactive in assisting others without direct supervision and to resolve problems with other departments and co-workers.
• Ensure building is clean, organized and presentable for patients and visitors.
• Perform other duties as assigned.

Great Benefits Include

• Blue Cross Blue Shield
• State Retirement
• Vacation
• Holidays
• Sick Time
• Vision
• Short and Long Term Disability
• Discount Employee Pharmacy Program at our Pharmacy
• Clinic Visits at no cost to full-time employees

This institution is an equal-opportunity employer and provider. All candidates who are extended an offer of employment will be required to undergo an FBI and Homeland Security background check and complete a drug screen.