Specialist-Billing

Baptist Memorial Health Care Corporation; Jackson (MS); On-site; USD 32,000 - 52,000; Full time

Job summary

Baptist is seeking a healthcare billing clerk to handle daily claims edits, denials, and timely follow-up. The role requires understanding paper and electronic billing, as well as client invoicing, with duties expanding to respond to internal and external inquiries.

Responsibilities include communicating with patients, insurers and clinic staff, submitting insurance claims, resolving credits, and handling denials while meeting established workflows and service levels.

Qualifications

• Experience in healthcare billing or coursework is preferred.
• Proficient in MS Office and basic electronic billing systems.
• Ability to understand payer guidelines and workflows.

Responsibilities

• Handle claims edits, denials, and follow-up according to procedures.
• Communicate with patients, insurers, and clinic staff by phone and email.
• Bill, collect, and submit insurance and TPA claims per guidelines.
• Review and process credit balances from reports.
• Work insurance denials and monitor claim status for accuracy.
• Achieve assigned billing goals and maintain timelines.

Skills

Verbal communication

Written communication

Customer service

Education

High School Diploma or GED

Certification in medical billing

Associates degree in Business or Finance

Tools

MS Office

Epic

Phone system

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.

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

Experience

Minimum Required

• Experience in the healthcare setting or educational coursework.

Preferred/Desired

• One or more years of government and/or commercial billing and collections in a physician or hospital setting.

Education

Minimum Required

• High School Dipolma or GED

Preferred/Desired

• Certification in medical billing or course work. Associates degree in Business, Finance, or related field.

Training

Minimum Required

• Basic computer and keyboarding skills.

Preferred/Desired

• 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

Minimum Required

Preferred/Desired

Licensure

Minimum Required

Preferred/Desired