Professional Billing Specialist

Singing River Health System; Pascagoula (MS); On-site; USD 45,000 - 65,000; Full time

Job summary

Singing River Health System in Pascagoula is seeking a Professional Billing Specialist to manage billing functions, including cash posting and denials management for a multispecialty department. Candidates should have at least 5 years of experience in physician billing and be capable of making management-level decisions. Knowledge of the AHA Coding Clinic and effective interpersonal skills are necessary. The position offers opportunities for continued learning, and proficiency in computer skills is required.

Qualifications

• 5+ years of experience in physician billing.
• Coding experience and familiarity with AHA Coding Clinic preferred.
• Ability to work independently and make management-level decisions.

Responsibilities

• Perform all functions of the billing department including billing, follow-up, cash posting, and denials management.
• Complete monthly billing reports for the department and physicians as assigned.
• Handle audit-related issues and ensure billing accuracy.

Skills

Interpersonal skills

Analytical skills

Communication skills

Organizational skills

Computer proficiency

Education

High school graduate or equivalent

Associate or other degree

Job description

Position Overview

The Professional Billing Specialist performs all functions of the 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 complete monthly billing reports for the department and individual physicians as assigned. They are strong at writing denial arguments utilizing research skills and knowledge of billing. This position also handles audit‑related issues. The Professional Billing Specialist makes decisions regarding billing accuracy and determines the need to re‑bill, follows up, and identifies actions for prevention on an ongoing basis. All performed duties must 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. Management reserves the right to revise the job or require other or different tasks performed as assigned.

Education

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

License

N/A

Certifications

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 with all levels of hospital personnel, organization and prioritization skills, effective written and verbal communication skills, analytical skills, and proficient computer skills.

Reports To

Director of Revenue Integrity

Supervises

None

Physical Demands

Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and 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 a 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 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 the 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.