Professional Billing Specialist

Singing River Health System•Pascagoula, MS

3d•Remote

About The Position

The Professional Billing Specialist performs all functions of the billing department, including Billing, Follow-up, cash posting, and Denials management for a multispecialty-billing department. This individual is responsible for managing all aspects of the job. This person will be responsible for completing monthly billing reports for the department and individual physicians as assigned. Being strong at writing denial arguments utilizing their research skills along with the knowledge of billing. This position will also be responsible for handling audit-related issues as well. The Professional Billing Specialist is responsible for making decisions regarding billing accuracy and the need to re-bill, follow-up, and/or identify actions for prevention on an ongoing basis. Expectation is for all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees.

Requirements

High school graduate or equivalent required.
At least 5 years’ experience in physician billing.
Ability to work independently.
Ability to make management level decisions.
Coding experience and working knowledge of the AHA Coding Clinic preferred.
Effective interpersonal skills to interact effectively with all levels of hospital personnel.
Organization and prioritization skills.
Effective written and verbal communications skills.
Analytical skills.
Proficient computer skills.
Must demonstrate keen mental faculties/assessment and decision making abilities.
Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone.
Must demonstrate strong written and verbal communication skills.
Must possess emotional stability conducive to dealing with high stress levels.
Must demonstrate ability to work under pressure and meet deadlines.
Attention to detail and the ability to multi-task in complex situations is required.
Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.
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 have working knowledge of the AHA Inpatient and Outpatient Coding.

Nice To Haves

Associate or other Degree desired.
American Academy of Professional Coders (AAPC) preferred.
If certified, must complete all requirements (including continuing education) to maintain certification.

Responsibilities

Performs all functions of billing department that includes Billing, Follow-up, cash posting and Denials management for a multispecialty-billing department.
Completes monthly billing reports for the department and individual physicians as assigned.
Writes denial arguments utilizing research skills and knowledge of billing.
Handles audit-related issues.
Makes decisions regarding billing accuracy and the need to re-bill, follow-up, and/or identify actions for prevention on an ongoing basis.
Travels throughout the SRH service area, providing own transportation.
Demonstrates appropriate clinical judgment and applies appropriate professional skills to a patient population of all ages.