Specialist-Billing Position Available In Shelby, Tennessee
Tallo's Job Summary: The Specialist-Billing role in Memphis, TN involves handling daily claims editing, denial, and billing tasks, ensuring timely follow-up. Responsibilities include communicating with patients and insurance companies, processing insurance claims, and resolving credit balances. The position requires experience in healthcare or related coursework, with preferred experience in billing and collections. A high school diploma or GED is required, with certification in medical billing or related field preferred. Basic computer skills are necessary, with proficiency in MS Office and knowledge of insurance billing guidelines preferred. Effective communication and customer service skills are essential.
Job Description
Specialist-Billing 3.5 3.5 out of 5 stars 965 Ridge Lake Boulevard, Memphis, TN 38120 Overview 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 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. Special Skills Minimum Required Preferred/Desired Licensure Minimum Required Preferred/Desired
