• Specialist-Billing

    Location US-MS-Jackson
    Posted Date 1 week ago(12/6/2018 9:37 AM)
    Position Code
    9620
    Status
    Regular Full-Time
    Department
    RBO-Jackson
  • Overview and Responsibilities

    Primary Responsibilities • Meet and exceed all performance standards established by Management. • Responsible for ensuring claims are billed in an accurate and timely manner in accordance with federal and state billing requirements. • Responsible for billing the appropriate third party commercial or government insurance carrier through the effective handling of all billing edits in work queues or daily assignments.   • Maintain a strong working knowledge of commercial and governmental insurance billing guidelines and regulations.  Seek and maintain knowledge by researching applicable electronic bulletins, reference manuals, or by consulting with insurance representatives. • Maintain a strong working knowledge of payer information as it relates to bundling and unbundling charges, medical necessity and general coding specifications to handle late charges and combine billing. • Maintain a strong working knowledge of how billing processes specific to payer requirements as it relates to 72 hour rules, inpatient readmissions and balance billing patients. • Work with the clinical staff to resolve claim issues. • Monitor and process all research and client (contract) billing to make sure all charges are correct and are being billed to either research/contract and/or patients. • Perform other duties as assigned.

    Qualifications

    Education • Minimum: High school diploma or equivalent. Experience • Minimum: One year experience in a health care setting (hospital or physician) or experience working for a health insurance company or related organization. • Preferred: Clerical skills with a working knowledge of accounting and insurance coverages and three years of experience in a physician or hospital billing office. Skills/Training • Minimum: PC and keyboarding skills.  Working knowledge of 10 key, typing and computers. • Preferred: Knowledge of health insurance billing guidelines.  Ability to type/key accurately. Effective verbal, written, and customer service skills. 

     

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