BILLING SPECIALIST (1124T)

Taylorville Memorial Hospital; United States; On-site; USD 25,000 - 39,000; Full time

Job summary

Memorial Health is seeking a Billing Specialist to analyze, investigate, and resolve complex inpatient and outpatient claims. You will ensure compliance with managed care guidelines and hospital policies while applying CPT/ICD-9 CM coding and UB04 knowledge.

The role requires a high school diploma or GED and 2+ years of medical billing experience, with strong attention to detail and communication skills. On-site with comprehensive benefits and growth opportunities.

Qualifications

• Education equivalent to graduation from high school or GED is required.
• Two+ years as Billing Specialist or comparable medical claims/billing experience.

Responsibilities

• Analyzes, investigates, and resolves claims/billing information and errors for complex inpatient/outpatient claims.
• Ensures compliance with managed care guidelines and policies.
• Maintains accuracy in billing using CPT/ICD-9 CM coding and UB04 forms.

Skills

Medical terminology

CPT/ICD coding

UB04 knowledge

Billing system

Train others

PC literacy

MS Word/Excel

Managed care policy

Communication

Detail orientation

Critical thinking

Problem solving

Oral/written communication

Keyboarding

Math skills

Teamwork

Education

High school diploma or GED

Tools

Electronic billing system

Microsoft Word

Microsoft Excel

Job description

Focused on the Future of Care We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.

Position Type: On-site

Job Description Summary: Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Education: Education equivalent to graduation from high school or GED is required.

Experience: Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them.

Other Knowledge/Skills/Abilities:

• Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB04 is required.
• Demonstrates a comprehensive knowledge of the electronic billing system and key contract billing guidelines and possess the ability to train others on the entire billing process.
• Basic working knowledge of personal computers and their associate user software is required.
• Experience with Microsoft Office products Word and Excel is preferred.
• Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
• Demonstrates ability to work successfully with internal customers and external contacts is required.
• Possesses a highly-developed detail orientation, critical thinking, and problem solving ability.
• Demonstrates excellent oral and written communication, keyboarding, and basic math skills.
• Demonstrates ability to work unsupervised as well as the ability to work in a group setting.

Pay Transparency $18.34 - $28.42

Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role.

Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at https://jobs.memorial.health/about/benefits/

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [e-mail].

Requests will be handled confidentially.

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