Specialist-Billing

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

Job summary

Baptist Memorial Health Care in Memphis, TN is seeking a Billing Specialist to manage daily claims edits, denials, and follow-up to ensure timely reimbursement. You will handle patient and payer inquiries and work with paper and electronic claims according to payer guidelines.

Ideal candidates have healthcare billing experience, knowledge of Epic, MS Office, and strong communication skills. Certification in medical billing or related coursework is a plus.

Qualifications

• Experience in healthcare billing or related coursework.
• Familiarity with payer guidelines and claims submission.
• Knowledge of Epic or similar EHR systems preferred.

Responsibilities

• Handles telephone communication with patients, insurance companies and staff.
• Bills, collects and submits insurance and TPA claims per guidelines.
• Reviews and processes credit balances from reports.
• Works all insurance denials, in paper and electronic queues.
• Monitors claim status and completes assigned goals.

Skills

Communication skills

Telephone etiquette

Customer service

Healthcare billing

Education

High School Diploma or GED

Tools

Epic

MS Office

Advanced phone system

Job description

Overview

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