Specialist-Billing

Location US-AR-Jonesboro
Posted Date 2 weeks ago(10/7/2021 8:43 AM)
Position Code
6064
Status
Regular Full-Time
Department
NE Business Office C

Overview and Responsibilities

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.
 
Job 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

Qualifications

Specifications
 
 
Experience
 
DescriptionMinimum RequiredPreferred/Desired 
 
Experience in the healthcare setting or educational coursework.
One or more years of government and/or commercial billing and collections in a physician or hospital setting.
 
Education
 
DescriptionMinimum RequiredPreferred/Desired 
 
High School Diploma or GED
Certification in medical billing or course work. Associates degree in Business, Finance, or related field.
 
Training
 
DescriptionMinimum RequiredPreferred/Desired 
 
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. Experience with Epic. Effective verbal and written communication skills. Effective customer service skills.
 
Special Skills
 
DescriptionMinimum RequiredPreferred/Desired 
Licensure
 
DescriptionMinimum RequiredPreferred/Desired

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