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Baptist Memorial Health Care · 8 hours ago

Specialist-Accounts Receivable Follow Up Senior - HS Central Business Office Corporate

Jackson, MS

Full-time

Onsite

Mid, Senior Level

1+ years exp

Baptist Memorial Health Care is a healthcare organization that values both technical expertise and compassionate service. They are seeking a Specialist-Accounts Receivable Follow Up Senior responsible for following up on Accounts Receivable with payers, assisting other office staff and patients regarding payments and contract conflicts, and performing various duties as assigned.

GovernmentHealth CareHospitalMedicalNon ProfitNursing and Residential CareRehabilitationWellness

Responsibilities

Communicates with Insurance companies daily

Reviews Payment Variance and Work Queues daily

Maintains credit balance reports

Processes Work Queues daily

Reviews accounts for accuracy

Assist the supervisors with other functions within the department

Completes assigned goals

Qualification

Insurance billingICD-9ICD-10CPTHCPCS codesFinancial counseling skillsProblem solvingCustomer service skillsPC skillsKeyboardingWritten communication skillsOral communication skills

Required

One (1) year experience in physicians office or hospital setting

Ability to type and key accurately

Problem solving skills

Written and oral communication skills

Financial counseling skills - knowledge of insurance billing (both hospital and professional settings) and collections

Knowledge of insurance guidelines as it relates to CMS guidelines, TennCare and/or Medicaid based by state specified requirements

Ability to recognize and communicate to clinical staff or designee when insurance companies require additional review because of NCCI, CCI, LMRP, Mutually Exclusive and Medical Necessity edits

Effective verbal, written and customer service skills as it relates to patients and insurance companies

Able to create communications to patients and insurance companies as needed to resolve issues to complete billing/claim processes

PC skills and keyboarding

Working knowledge of 10 key, typing and computers

Preferred

Preferred clerical skills with a working knowledge of accounting and insurance coverages and three (3) years experience in a physicians or hospital setting

Knowledge of ICD-9, ICD-10, CPT and HCPCS codes

Certification and/or degree in Healthcare Administration Business, Finance or related fields preferred

Prefer knowledge of insurance billing and collections and insurance guidelines