Specialist-Billing

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 36,000 - 60,000; Full time

Job summary

Baptist Memorial Health Care Corporation is seeking a Billing/Claims Specialist to oversee daily completion of claims edits, denials, and follow-up, interacting with patients, insurers, and clinic staff. This role handles both paper and electronic claims and client invoicing.

Ideal candidates will have healthcare billing exposure, basic computer skills, and familiarity with MS Office. Preference for those with hospital billing experience and medical billing certification or related coursework.

Qualifications

• Experience in the healthcare setting or educational coursework.
• Basic computer and keyboarding skills.
• MS Office and advanced phone system experience; knowledge of insurance billing and collections guidelines, including payer systems such as FFS.

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

Education

High School Diploma or GED

Certification in medical billing or related coursework

Associates degree in Business, Finance, or related field

Job description

Overview

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

Specifications

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