Sr Billing Specialist WMCG

Wellstar Health System

7d • Onsite

About The Position

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
• Minimum 2 years experience in insurance billing in hospital environment
• Microsoft Word and Excel experience
• 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

• Maintains billing workqueues assigned by alpha or groupings which generates claim edits requiring billing intervention to create clean claims.
• Maintains and corrects claims returned to the biller workqueue in EPIC that have been rejected by the payor.
• Maintains and corrects claims returned to the biller workqueue in EPIC that have been denied by the payor.
• Able to train billing specialist to work billing edits, claim errors, and denials within the billing system.
• 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.

Benefits

• Nationally ranked and locally recognized for our high-quality care and inclusive culture
• Support to do more meaningful work—and enjoy a more rewarding life
• Connect with the most integrated health system in Georgia, and start a future that gives you more.
• Featured on the FORTUNE “100 Best Companies to Work For” list and Seramount 100 Best Companies list

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED