Billing Specialist

Job Details
Job Location
Mississippi Branch - OXFORD, MS
Description
Job Description
Job Title: Billing Specialist
Reports To: Director of Revenue Management
Department: Patient Accounts Location: Remote
FLSA Status: Non-Exempt
POSITION SUMMARY:
The fundamental responsibilities of the Billing Specialist is to ensure timely and accurate claim processing inclusive of but not limited to coding, verify payors, working denials, rejections, and posting of payments. Additionally, the Billing Specialist will directly interface with others within the company, patients, customers, vendors, collections agencies and others inside or outside the company to assure that billing is completed in a timely and accurate manor to maximize accounts receivable.
Essential Duties and Responsibilities:

• Pre-Billing inclusive of but not limited to Charts, Insurance Verification, and Coding.
• Communicate with customers in a professional manner.
• Interact with payers to secure timely payment.
• Verify payor coverage through resources available.
• Accurately add diagnosis codes and charges to claims.
• Accurately post payments.
• Process rejected claims and denials
• Maintain knowledge of payor regulations, timely filing deadlines, payment and appeals policies and procedures.
• Represent the organization professionally and appropriately.
• Ability to work in and participate in a team environment

Non-Essential Duties and Responsibilities

• Perform other duties as assigned.

Physical Requirements- (Field Employees Only)

• N/A

Minimum Qualifications:

• Two (2) years' experience in ambulance medical billing.
• Able to work independently.
• Comprehensive understanding of federal reimbursement guidelines.
• High level computer skills.
• Excellent interpersonal skills.
• Service oriented.

Education/Licensing/Certification:

• (Preferred) Be a currently state certified EMT, EMT-A, or Paramedic.
• (Preferred) Be CAC certified.
• High school diploma.
• Current state driver's license.

Other Knowledge and Skills:

• Maintains professional competence and demonstrates concern for the competence of other members of the EMS health care team.
• Maintain HIPPA Compliance.
• Strong ability to multi-task at a high pace environment.
• Ability to uphold standards of practice and education.
• Ability to adhere to standards of personal ethics, on and off duty, which reflect credit upon the profession.
• Does not use professional knowledge and skills in any enterprise detrimental to the Company or to the public well-being.
• Ability to respect and hold in confidence all information of a confidential nature obtained in the course of professional work unless required by law to divulge such information.
• Has good working knowledge of all company policies pertaining to this position.
• Good knowledge of common physical illnesses, obvious symptoms, and medical terminology.