Sr Billing Specialist WMCG

Wellstar Health System

4d

About The Position

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Job Summary: Responsible for first time billing of either governmental or non-governmental claims to third party payors. Capable of reviewing and troubleshooting claims within the billing system to correct errors, edits, or nuances preventing a bill from going to the payer.

Requirements

• High School Diploma General or GED General Required
• Minimum 2 years experience in insurance billing in hospital environment
• Microsoft Word and Excel expereince Required
• Experience in Excel and Word.
• Demonstrates a general knowledge of medical terminology, ICD9-CM, ICD10-CM, and CPT procedure codes relative to hospital practices.
• Competent written and oral communication skills, time management organization, and an attention to detail.
• Displays strong knowledge of analytical and problem solving skills.
• Is able to train Billers on billing edits, claim errors and denials.

Responsibilities

• EPIC Workqueues-Maintains billing workqueues assigned by alpha or groupings which generates claim edits requiring billing intervention to create clean claims.
• Payor Rejections-Maintains and corrects claims returned to the biller workqueue in EPIC that have been rejected by the payor.
• Denials-Maintains and corrects claims returned to the biller workqueue in EPIC that have been denied by the payor.
• Training-Able to train billing specialist to work billing edits, claim errors, and denials within the billing system
• Communication-Able to effectively communicate with ancillary departments to resolve claim issues to expedite bills to payers.
• Performs other duties as assigned
• Complies with all Wellstar Health System policies, standards of work, and code of conduct.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees