Professional Billing Specialist

Singing River Health System; Pascagoula (MS); Remote; USD 42,000 - 64,000; Full time

Job summary

Singing River Health System is seeking a Professional Billing Specialist to manage a multispecialty billing department, including follow-up, cash posting, and denials management. The role requires strong denial argumentation, research skills, and adherence to policy guidelines.

Qualified candidates will have a high school diploma (an associate degree is preferred) and 5+ years in physician billing. AAPC certification is preferred; MS Outlook/Word and billing software proficiency are expected.

Qualifications

• High school graduate or equivalent required; Associate degree preferred.
• 5+ years’ physician billing experience; ability to work independently and make management level decisions.
• AAPC certification preferred; if certified, maintain CE requirements.

Responsibilities

• Perform all functions of the billing department, including Billing, Follow-up, cash posting and Denials management for a multispecialty department.
• Prepare monthly billing reports for the department and individual physicians.
• Write denial arguments using research skills and billing knowledge.
• Handle audit-related issues and ensure billing accuracy; determine when re-billing is needed.
• Adhere to Singing River Health System procedures, policies, and applicable accreditation guidelines.

Skills

Denials management

Research skills

Written and verbal communication

Analytical skills

Computer proficiency

Education

High school diploma

Associate degree preferred

Tools

MS Outlook

MS Word

Billing software

Job description

At Singing River Health System, caring isn't just part of the job - it's in our DNA. Whether we're saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day. With pride, passion, and commitment, we will improve health and save lives in our community every day.

Shift:M - F 8am to 5pmLocation:Remote Alabama, Remote Louisiana, Remote Mississippi, Remote Texas, Singing River Pascagoula Hospital

Job Description

Position Overview

The Professional Billing Specialist performs all functions of billing department that includes Billing, Follow-up, cash posting and Denials management for a multispecialty-billing department. This individual is responsible for managing all aspects of the job. This person will be responsible for completing monthly billing reports for the department and individual physicians as assigned. Being strong at writing denial arguments utilizing their research skills along with the knowledge of billing. This position will also be responsible for handling audit-related issues as well. The Professional Billing Specialist is responsible for making decisions regarding billing accuracy and the need to re-bill, follow-up, and/or identify actions for prevention on an ongoing basis. Expectation is for all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees.

DISCLAIMER

This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection ...

Education:

High school graduate or equivalent required. Associate or other Degree desired.

License:N/ACertifications:

American Academy of Professional Coders (AAPC) preferred. If certified, must complete all requirements (including continuing education) to maintain certification.

Experience:

At least 5 years' experience in physician billing, the ability to work independently, and the ability to make management level decisions. Coding experience and working knowledge of the AHA Coding Clinic preferred. Effective interpersonal skills to interact effectively with all levels of hospital personnel. Organization and prioritization skills. Effective written and verbal communications skills. Analytical skills. Proficient computer skills.

Reports to:

Director of Revenue IntegritySupervises:None

Physical Demands:

Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.

Mental Demands:

Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.

Job duties require employee to travel throughout the SRH service area - with the employee providing his/her own transportation. Must have working knowledge of the AHA Inpatient and Outpatient Coding.

Special Demands:

Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word. Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.

If you're looking for purpose, teamwork, and a place where what you do truly matters, you've found it. Let's do big things together.