Job Summary
Responsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Handles internal and external questions to completion. Understands both paper and electronic claims as well as client invoice billing. Performs other duties as assigned.Responsibilities
- Handles telephone communication with patients, insurance companies and other BMG clinic or BMG Foundation personnel.
- Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows
- Reviews and/or processes all credit balances from supplied reports.
- Works all insurance denials, via paper and/or electronic in work queues.
- Monitors and processes all assigned electronic and/or paper claim status. i.g. claim edit and no response work queues.
- Completes assigned goals
Specifications
Experience
Minimum Required
- Experience in the healthcare setting or educational coursework.
Preferred/Desired
- One or more years of government and/or commercial billing and collections in a physician or hospital setting.
Education
Minimum Required
- High School Dipolma or GED
Preferred/Desired
- Certification in medical billing or course work. Associates degree in Business, Finance, or related field.
Training
Minimum Required
- Basic computer and keyboarding skills.
Preferred/Desired
- MS Office and advanced phone system experience. Knowledge of insurance billing and collections guidelines, including payer systems such as FFS. Experience with Epic. Effective verbal and written communication skills. Effective customer service skills.
Special Skills
Minimum Required
Preferred/Desired
Licensure
Minimum Required
Preferred/Desired
Skills Required
- Experience in the healthcare setting or educational coursework.
- One or more years of government and/or commercial billing and collections in a physician or hospital setting.
- High School Diploma or GED.
- Certification in medical billing or course work.
- Associates degree in Business, Finance, or related field.
- Basic computer and keyboarding skills.
- MS Office experience.
- Advanced phone system experience.
- Knowledge of insurance billing and collections guidelines, including payer systems such as FFS.
- Experience with Epic.
- Effective verbal and written communication skills.
- Effective customer service skills.
What We Do
Baptist Memorial Health Care is one of the country’s largest not-for-profit health care systems and the largest provider of Medicaid in the region. Baptist offers a full continuum of care to communities throughout the Mid-South and consistently ranks among the top integrated health care networks in the country. The health care system comprises 24 affiliate hospitals in West Tennessee, Mississippi and East Arkansas; more than 5,400 affiliated physicians; Baptist Medical Group, a multispecialty physician group with more than 900 providers; home, hospice and psychiatric care; minor medical centers and clinics; a network of surgery, rehabilitation and other outpatient centers; and an education system highlighted by Baptist Health Sciences University (formerly Baptist College of Health Sciences). Baptist employs more than 21,000 people, and in fiscal year 2022 contributed more than $455 million in community benefit and uncompensated care to the communities it serves. For more information, please visit www.baptistonline.org or follow us on Facebook or Instagram.
