BILLING SPECIALIST II (R00041228) Position Available In Hinds, Mississippi

Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application. You can only apply one time to a job requisition. Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process.

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After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile. Thank you, Human Resources 

Important Applications Instructions:

Please complete this application in entirety by providing all of your work experience, education and certifications/ license. You will be unable to edit/add/change your application once it is submitted. 

Job Requisition ID:

R00041228

Job Category:

Clerical and Customer ServiceOrganization:

SOD-Revenue Cycle Manager-Patient AccountsLocation/s:

Main Campus JacksonJob Title:

BILLING SPECIALIST II

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SOD-Patient Financial ServicesJob Summary:

Handles complex patient account functions such as assignment and verification of insurance and medical codes, verification of contractual adjustments and payments, and review and submission of refunds. To ensure that all billing, charges, and claims are posted and coded accurately into the billing system. To correspond with third-party payers regarding claim status and submission. To generate specialized reports on insurance claims and resolves problem/issues within the reports.

Education & ExperienceHigh school/GED plus three (3) years of medical billing experience, or equivalent combination of education and experience. 

Certifications, Licenses or Registration Required:

NA Knowledge, Skills & AbilitiesProficient knowledge of billing and medical claims processing. Ability to maintain confidentiality. Verbal and written communication skills. Organizational skills. Computer skills including but not limited to proficiency in word processing and spreadsheets. ResponsibilitiesReviews, processes, and reconciles specialized or complex insurance claims. May assign insurance codes, status codes, and charges in preparation for the information to be posted in accounts receivable. Verifies that medical codes are indicated on encounter forms and ensures the accuracy of all claims postings and codes.

Verifies and posts contractual adjustments from third-party payers. Verifies accuracy of contract payments. Transfers account balances to patient or secondary insurance responsibility. Prepares patient itemized statements.

Reviews accounts while posting to determine if a refund is needed. Prepares patient itemized statements.

Prepares documentation to justify the issuance of a refund to the correct responsible party. Enters charge credits to reverse incorrect charges and re-enters corrected charges.

Rev ews summary aging reports and targets files by insurance companies to ensure that claims pending insurances are adjudicated timely.

Works with outside collection agency on delinquent patient accounts.

May serve as work lead in billing area. Assists in training of new employees.

Trends payer issues, and reports them, including account examples to supervisor and director.

Develops and builds relationships with other service areas and departments to resolve billing issues.

Corrects claims that are on rejection report, Medicare or HMO rejections, b/c rejections, or commercial rejections.

The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental DemandsRequires frequent activities subject to significant volume changes of a seasonal/clinical nature, frequent work produced subject to precise measures of quantity and quality, constant sitting. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more) 

Time Type:

Full time

FLSA Designation/Job Exempt:

NoPay Class:

HourlyFTE %:100

Work Shift:

Day