What are the responsibilities and job description for the Insurance Billing Specialist position at Singing River Health System?
Insurance Billing Specialist Position Overview DISCLAIMER: This is not necessarily an exhaustive
list of all responsibilities, duties, skills, efforts, requirements or working
conditions associated with the job. While this intends to be an accurate
reflection of the current job, management reserves the right to revise the job
or to require that other or different tasks performed as assigned. Education Physical Demands Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.
Singing River Health System Administrative Building - Gautier | Full-Time | Days |
Mississippi
United States
The Insurance Billing Specialist submits hospital claims to
multiple third party payers including, but not limited to: Managed Care plans;
Medicare and Medicaid; hospice and other specialty claims. He/She coordinates
accumulation and verification of all necessary documentation required for
billing and resolves claim level edits and errors as appropriate for accurate,
compliant billing. The Insurance Billing Specialist performs follow up duties
associated with re-billing, claim level denials, adjustments and collections
of all overdue accounts in accordance with best business practices. He/She
identifies problems and solutions or enhancements to resolve billing issues,
including, billing frequency, required forms, and general billing
requirements. The Insurance Billing Specialist communicates issues and offers
suggestions to service line departments and management to improve processes
within the Revenue Cycle.
High school graduate or equivalent required. Courses in business, accounting, or related fields preferred.
License
N/A
Certification
N/A
Experience
A minimum of two (2) years’ experience in patient accounting, insurance or a business office required. Experience with diagnosis codes, procedure and CPT codes, NCCI edits, modifiers, and standard payer reported code sets preferred.
Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard.
Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.
Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.
Mental Demands
Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines.
Special Demands
Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word.
Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.
