Specialist-Billing

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.
• Maintains and processes all assigned electronic and/or paper claim status, including claim edit and no response work queues.
• Completes assigned goals.

Requirements

• 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 Diploma 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.

Qualifications

• Licensure