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Baptist Memorial Health Care Specialist-Billing in Memphis, Tennessee

Job 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

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.

Education

Description

Minimum Required

Preferred/Desired

High School Dipolma or GED

Certification in medical billing or course work. Associates degree in Business, Finance, or related field.

Experience

Description

Minimum Required

Preferred/Desired

Business related clerical job skills including keyboarding. One year government and commerical billing and collections in a physician or hospital billing office.

Three year government and commerical billing and collections in a physican or hospital billing.

Licensure

Description

Minimum Required

Preferred/Desired

BOT Position Code #: 5560

Department Name: MG CBO Oncology BMG

External Company Name: Baptist Memorial Health Care Corporation

External Company URL: http://www.baptistonline.org

Street: 965 Ridge Lake Blvd.

Overview and Responsibilities:

Job 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

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.

Qualifications:

Education

Description Minimum Required Preferred/Desired

High School Dipolma or GED

Certification in medical billing or course work. Associates degree in Business, Finance, or related field.

Experience

Description Minimum Required Preferred/Desired

Business related clerical job skills including keyboarding. One year government and commerical billing and collections in a physician or hospital billing office.

Three year government and commerical billing and collections in a physican or hospital billing.

Licensure

Description Minimum Required Preferred/Desired

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