Specialist-Billing

Baptist Memorial Health Care Corporation; Memphis (TN); Presencial; USD 36.000 - 60.000; Jornada completa

Descripción de la vacante

Baptist Memorial Health Care Corporation in Memphis, TN seeks an experienced Billing Specialist to manage claims edits, denials, and follow‑up, handling both paper and electronic billing and responding to inquiries.

The role requires knowledge of payer guidelines, strong communication, and the ability to work in a fast-paced healthcare environment; experience with Epic is preferred.

Formación

• Experience in healthcare setting or related coursework.
• One or more years of government and/or commercial billing and collections in a physician or hospital setting preferred.
• Proficiency with insurance billing and payer guidelines is expected.

Responsabilidades

• Handle telephone communications with patients, insurers, and clinic staff.
• Bill, collect and submit insurance and TPA claims per payer guidelines and procedures.
• Review and process credit balances from reports.
• Work insurance denials in queue (paper and electronic).
• Monitor and process claim status in queues (edit and no response).
• Achieve assigned performance goals.

Conocimientos

Verbal communication

Written communication

Customer service

Phone system experience

Educación

High School Diploma or GED

Medical billing certification or coursework

Associates degree in Business/Finance

Herramientas

Epic

MS Office

Descripción del empleo

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.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 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.