Specialist-Billing

Baptist Memorial Health Care; Jackson (MS); On-site; USD 36,000 - 48,000; Full time

Job summary

Baptist Memorial Health Care is seeking a billing specialist to manage daily claims edits, denials and follow-up tasks to ensure timely reimbursement. The role involves handling inquiries from patients and insurers and understanding both paper and electronic billing workflows.

Ideal candidates will have healthcare billing experience or related coursework, with familiarity in payer guidelines and Epic software.

Qualifications

• Experience in healthcare billing or related coursework.
• Familiarity with payer guidelines and insurance billing processes.
• Strong written and verbal communication skills.

Responsibilities

• Handle telephone communication with patients, insurance companies and clinic or health system personnel.
• Bills, collects, and submits all insurance and TPA claims according to payer guidelines and procedures.
• 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, e.g. claim edit and no response work queues.
• Completes assigned goals.

Skills

Healthcare billing

Communication skills

Attention to detail

Customer service

Education

High School Diploma or GED

Associate’s degree in Business/Finance or related field

Medical billing certification

Tools

Epic

MS Office

Job description

Job Summary

Responsible for the daily completion of both claims 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.
• 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, e.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 Diploma or GED.

Preferred/Desired

• Certification in medical billing or coursework. Associate’s 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.