Specialist-Billing

Baptist Memorial Health Care; Memphis (TN); On-site; USD 37,000 - 45,000; Full time

Job summary

Baptist Memorial Health Care is seeking a Billing Specialist to handle daily claims edits, denials, and follow-up, with responsibility for both paper and electronic billing workflows.

Candidates should have healthcare billing experience, solid communication skills, and familiarity with Epic and MS Office. The role entails interaction with patients, insurers, and internal teams within the hospital setting.

Qualifications

• Experience in healthcare billing or related coursework.
• Preferred: 1+ year of government/commercial billing in hospital settings.
• Proficiency with MS Office and basic computer skills.

Responsibilities

• Handle telephone communication with patients, insurance companies and clinic personnel.
• Bill, collect and submit insurance and TPA claims per payer guidelines and procedures.
• Review and process credit balances from reports.
• Work all insurance denials in billing queues (paper and electronic).
• Monitor and process claim status and edits; manage paper/electronic queues.
• Complete assigned goals.

Skills

Verbal communication

Written communication

Customer service

Basic computer skills

Phone etiquette

Education

High School Diploma or GED

Certification in medical billing

Associates degree in Business/Finance

Tools

Epic

MS Office

Job description

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

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.