Billing Specialist

At Simpson General Hospital (SGH), we pride ourselves in providing high quality healthcare in a hometown environment!

Job title:

Medical Billing Specialist Work Location:

Business Office (Financial Services) Reports to:

Business Office Manager Job Type:

Full-time Experience

3 - 5 years of Business Office/Billing Office experience within a healthcare setting (preferred)

Demonstrated proficiency in Microsoft Word, Excel, verbal and written communication skills and customer service. Education:

High School Diploma or GED (Required)

Associates Degree (Preferred) Schedule:

Monday - Friday, 8:00am - 4:30pm Benefits:

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Retirement Plan

Discounted In-House Services at SGH Clinics & Hospital Work Remotely:

No Position Summary:

The Medical Billing Specialist is responsible for the preparation of insurance claims and A/R follow-up of denials. Other duties include processing changes for patient insurance/demographics in order to bill clean/accurate insurance claims, communication with patients, patient families, insurance companies and other individuals related to insurance and/or self-pay services.

Essential Duties and Responsibilities:

Edits all UB and 1500 claim forms for billing

Files Insurance claims for payment

Works the billing work queues timely

Corrects and rebills claims as needed

Assist in pulling claims data for auditing purposes

Provide excellent customer service

Demonstrate professional behavior and interpersonal skills to reflect the mission and vision statement of SGH

Complies with HIPAA, Compliance, Infection Control and Universal Precaution guidelines along with the hospital and departmental safety guidelines

Perform other duties as assigned Skills:

Knowledgeable of claims submission processes for all major insurance carriers, intermediaries, Medicare and Medicaid

Efficient data entry skills, balancing figures, compilation of statistics and understanding of reconciliation processes

Excellent customer relations and oral/written communication skills

Effectively communicate with patients, families, physicians, and hospital staff

Basic computer skills

Professional, friendly attitude

Working knowledge of healthcare laws and regulations

Team player with excellent communication and interpersonal skills

Outstanding organizational and multi-tasking skills

Excellent problem-solving skills

Ability to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service

Ability to work independently and to carry out assignments to completion within parameters of instructions given and standard accepted practices

Physical Requirements:

The Medical Billing Specialist must have the ability to move around freely, walk and stand for long periods of time; use stomach and lower back muscles to support the body for long periods without getting tired; use hands to handle, control, or feel objects, tools, or controls; bend or twist their body; understand the speech of another person and speak clearly so listeners can understand; and see details of objects that are less than a few feet away and at a distance.