Billing Specialist III - Transplant-Kidney

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Human Resources

Important Applications Instructions:

Please complete this application in entirety by providing all of your work experience, education and certifications/

license. You will be unable to edit/add/change your application once it is submitted.

Job Requisition ID:

R00035796

Job Category:

Clerical and Customer Service

Organization:

Transplant Clinical Staff

Location/s:

Main Campus Jackson

Job Title:

Billing Specialist III - Transplant-Kidney

Job Summary:

Oversees the financial processes, billing reviews and analysis for specialized services. Provides data measurement support to the revenue cycle department.

Education & Experience

Bachelor's degree in Business or related field and five (5) years of related hospital or medical office third party billing and collections experience, or equivalent combination of education/experience. Experience with Medicare, Medicaid and governmental programs, or specialized experience preferred.

Certifications, Licenses or Registration Required: NA

Knowledge, Skills & Abilities

Computer literacy, math, analytical, customer service, attention to detail, ethics and integrity are necessary skills for this role.

Responsibilities

• Demonstrates exceptional knowledge, judgement and experience in the execution of primary and secondary claims billing, follow up and reimbursement reconciliation.

• Timely and accurate review, processing and resolution of charges, invoice items, system edits and claim errors. Performs timely reconciliation of claims dropping from the billing system into the claims editor.

• Distributes correspondence and impactful review issues to revenue cycle managers.

• Provide onsite auditing, monitoring, and workflow assistance to ensure revenue cycle best practices.

• Submit recommendations to management for developmental training for employees not meeting quality guidelines.

• Investigates and responds to questions or requests for additional information in a timely and professional manner to ensure proper, timely and accurate payment/resolution of accounts.

• Collaborates with revenue cycle leadership to develop, secure approval of, and oversee implementation of policies and procedures to meet agreed upon performance standards.

• Collect and analyze performance data to support revenue cycle productivity improvement.

• Audit and analyze accounts for incomplete documentation, workflow improvement, and productivity errors that identify improvement opportunities.

• Identifies and resolves billing inaccuracies/issues. Identifies provider/payer contracting/reimbursement issues and acts as point of contact with payers, affiliated providers/programs. Advises stakeholders (revenue cycle, contract dept., research coordinators, compliance), of issues affecting or related to system and/or operations related to billing and reimbursement.

• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional working hours significantly beyond regularly scheduled hours, occasional travelling to offsite locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, frequent work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 25 pounds, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, occasional reaching, constant sitting, frequent standing, occasional twisting, and constant walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Time Type:

Full time

FLSA Designation/Job Exempt:

No

Pay Class:

Hourly

FTE %:

100

Work Shift:

Day

Benefits Eligibility:

Benefits Eligible

Grant Funded:

No

Job Posting Date:

04/11/2024

Job Closing Date (open until filled if no date specified):