Billing Specialist II
Hospital based in Jackson, MS is seeking a Billing Specialist II to begin working immediately. Must be able to 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.
“I am looking for someone that is familiar with working denied claims. They would need to know how to reconcile claims. This means they would have to know how to follow up on a claim, file a reconsideration or appeal on claim. they would basically know how to obtain payment on the claim. They would also need to know about the different commercial payers, such as United HealthCare, Tricare, Triwest, Aetna, Fox Everett. I would also like for them to know about the billing windows on timely filing, and familiar with prior authoriztions, etc".
All aspects of follow-up as it pertains to non-government payers
A high school/GED plus three (3) years of medical billing experience, or equivalent combination of education and experience is required.
Medical claims or billing experience, computer skills - Microsoft Office, healthcare experience is preferred.
Must be able to pass a background check
Individual will be responsible for verifying eligibility and processing medical claims for professional services, ability to understand payors guidelines. Individual will be responsible for handling all aspects of Medicare follow-up.