Insurance Billing Specialist | Patient Financial Services

Singing River Health System•Gautier, MS

5d•Onsite

About The Position

The Insurance Billing Specialist submits hospital claims to multiple third-party payers including, but not limited to: Managed Care plans; Medicare and Medicaid; hospice and other specialty claims. He/She coordinates accumulation and verification of all necessary documentation required for billing and resolves claim level edits and errors as appropriate for accurate, compliant billing. The Insurance Billing Specialist performs follow up duties associated with re-billing, claim level denials, adjustments and collections of all overdue accounts in accordance with best business practices. He/She identifies problems and solutions or enhancements to resolve billing issues, including, billing frequency, required forms, and general billing requirements. The Insurance Billing Specialist communicates issues and offers suggestions to service line departments and management to improve processes within the Revenue Cycle.

Requirements

High school graduate or equivalent required.
A minimum of two (2) years’ experience in patient accounting, insurance or a business office required.
Must possess superior customer service skills and professional etiquette.
Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word.
Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.

Nice To Haves

Courses in business, accounting, or related fields preferred.
Experience with diagnosis codes, procedure and CPT codes, NCCI edits, modifiers, and standard payer reported code sets preferred.

Responsibilities

Submits hospital claims to multiple third-party payers including, but not limited to: Managed Care plans; Medicare and Medicaid; hospice and other specialty claims.
Coordinates accumulation and verification of all necessary documentation required for billing.
Resolves claim level edits and errors as appropriate for accurate, compliant billing.
Performs follow up duties associated with re-billing, claim level denials, adjustments and collections of all overdue accounts in accordance with best business practices.
Identifies problems and solutions or enhancements to resolve billing issues, including, billing frequency, required forms, and general billing requirements.
Communicates issues and offers suggestions to service line departments and management to improve processes within the Revenue Cycle.