Insurance Billing Specialist

Position Overview

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

• A minimum of two (2) years’ experience in patient accounting, insurance or a business office required.
• Experience with diagnosis codes, procedure and CPT codes, NCCI edits, modifiers, and standard payer reported code sets preferred.

Qualifications

• High school graduate or equivalent required.
• Courses in business, accounting, or related fields preferred.

Skills

• Superior communication/speaking/enunciation skills to receive and give information in person and by telephone.
• Strong written and verbal communication skills.
• Emotional stability conducive to dealing with high stress levels.
• Ability to multi-task in complex situations.
• Customer service skills and professional etiquette.
• 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.
• Appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.

Benefits

Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.

Pay

Shift Monday - Thursday (9 hours) and Friday (4 hours) or Monday - Friday (8 hours)

Schedule

Monday - Thursday (9 hours) and Friday (4 hours) or Monday - Friday (8 hours)

Location

Singing River Pascagoula Hospital