Specialist-Billing

Baptist Memorial Health Care; Memphis (TN); On-site; USD 35,000 - 45,000; Full time

Job summary

A healthcare provider in Memphis, TN, is seeking a professional for billing and collections functions. The candidate should manage telephone communications with patients and insurers, process claims, and handle billing inquiries. Requires a high school diploma or GED, with preferred experience in healthcare billing. Strong customer service and communication skills are necessary for success in this role. Knowledge of insurance processes is beneficial, and familiarity with tools like MS Office and Epic is preferred.

Qualifications

• Minimum of one year in government and/or commercial billing in a physician or hospital setting.
• Basic computer and keyboarding skills are required.
• Knowledge of insurance billing and collections guidelines.

Responsibilities

• Handle telephone communication with patients and insurance companies.
• Bill and collect all insurance claims according to established procedures.
• Review and process credit balances from supplied reports.
• Work with insurance denials in electronic work queues.
• Monitor claim status in assigned work queues.

Skills

Experience in healthcare setting

Government and/or commercial billing

Effective verbal and written communication

Effective customer service skills

Education

High School Diploma or GED

Certification in medical billing

Associate’s degree in Business or Finance

Tools

MS Office

Epic

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 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.e. 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 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.

Special Skills

Licensure