Insurance Billing Specialist

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.

Collects more complex patient accounts from third party payers and patients to maximize cash receipts and minimize receivables while maintaining effective customer relations. Works under minimal supervision and may adapt procedures, processes, and techniques to meet the more complex requirements of the position. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview
Collects more complex patient accounts from third party payers and patients to maximize cash receipts and minimize receivables while maintaining effective customer relations. Works under minimal supervision and may adapt procedures, processes, and techniques to meet the more complex requirements of the position. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

• Reviews and edits more complex and non-routine claims. Identifies and communicates problems regarding claims. Maintains pending claims at minimal levels.
• Analyzes more complex accounts for collectibility purposes.
• Reviews, follows up, and collects payment of claims on more complex accounts.
• Reviews and issues insurance bills. Reviews account related correspondence.
• Determines resolution of credit balances.
• Assists Lead and Supervisor with training/orienting and provides guidance to lower level staff members.
• Performs other job functions as assigned.

Education/Formal Training Requirements

• High School Diploma or Equivalent

Work Experience Requirements

• 0-1 years Billing, coding, or insurance verification

Knowledge, Skills and Abilities

• Intermediate motor abilities for the operation of calculator, typewriter, and computer terminal. Accuracy is essential.
• Moderate mathematical proficiency required to include addition, subtraction, multiplication, and calculation of percentages. Accuracy is essential.
• Strong verbal and written communication skills.
• Ability to apply problem-solving techniques.
• High degree of assertiveness and determination required.

Supervision Provided by this Position

• There are no supervisory or lead responsibilities assigned to this position.
• May assists with training and orienting lower level staff members.

Physical Demands

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Education:

High School Diploma or Equivalent (Required)

Work Experience:

Billing, coding, or insurance verification

Certifications:

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.