Talent.com
Billing Specialist I

Billing Specialist I

Greater Baltimore Medical Center (GBMC)Cockeysville, MD, United States
8 hours ago
Job type
  • Full-time
Job description

Under direct supervision, performs all billing and collection functions on account balances within assigned financial classes. Ensures timely submission of all claims and timely follow up. Posts payments in EPIC. Perform eligibility, verification and authorization requests, as needed.

Education

High School diploma or equivalent required. Associate's degree preferred.

Experience

Two years of medical billing experience and one year experience with electronic billing. Epic experience desired.

Knowledge, Skills and Abilities

  • Thorough knowledge and understanding of medical billing, insurance and private pay.
  • Knowledge of all medical billing requirements for Medicare, Blue Cross, Medical Assistance, Commercial insurance, and HMO carriers
  • Strong collection skills, including claims follow-up, revenue cycle practices
  • Strong computer skills, including EMR knowledge and Microsoft Office. Excel preferred.
  • Strong interpersonal skills
  • Excellent verbal and written communication skills for interacting with patients, families, insurance companies and healthcare providers.
  • Strong ability to investigate issues, find solutions, and work under pressure to resolve billing issues.
  • Efficient in managing multiple tasks, prioritizing, and ensuring deadlines are met.
  • Ability to handle multiple claims and billing tasks simultaneously while maintaining quality and accuracy

Licensures, Certifications

N / A

Principal Duties and Responsibilities

  • Manages assigned Epic work queues daily to ensure accurate billing and expedient claims follow-up.
  • Claims Billing Processes : Ensures timely submission of all claims within assigned financial classes. Ensures timely follow up of all claims within assigned financial classes.
  • Claim Resolution Processes : Investigates claim denials or rejections; completes functions in order to resolve claims.
  • Uses all available tools such as Online access, calling the insurance companies; working with provider representatives.
  • Identifies appeals; identifies secondary billing for accounts with secondary liability; follows-up on any unpaid balances. Brings these claims to resolution.
  • Identifies patient self-pay balances and bills timely to patient / family. Follow-ups as necessary including calling for follow up.
  • Process any late charge claims, claims resubmission and / or claims corrections to payors.
  • Enters and posts payment to patient accounts based on remittance advice review.
  • Reconcile accounts and ensure any underpayments or overpayments are corrected
  • Responds to patient and third-party payor inquiries regarding patient accounts via e-mail, telephone, mail, and in person.
  • Audits primary patient bills for submission to third party payers via electronic billing or manual claim submission.
  • Maintain detailed and accurate billing records for auditing purposes and compliance with industry regulations
  • Maintain thorough records of all communication with insurance providers and patients regarding claims.
  • Participate in meetings with Provider Reps to resolve denial discrepancies
  • Prepare and submit appeals for denied claims. Understanding of additional documentation necessary to submit an appeal
  • Obtain an in-depth understanding of hospice billing regulations. Ensure compliance with federal, state and local billing laws, including HIPAA regulations.
  • Prepare reports to managers recommending accounts for bad debt adjustments. Maintaining lost revenue at a level of less than 1% of net healthcare revenue
  • Recommends accounts for transfer to bad debt.
  • Physical Requirements

  • Ability to sit, concentrate and pay close attention to detail
  • Working Conditions

  • Normal office environment with little exposure to excessive noise, dust, temperatures and the like
  • Conditions of Employment

    N / A

    All roles must demonstrate GBMC Values

    GBMC Values

    Respect

    What follows describes GBMC values without formatting; text retained from the original content.

  • Treats others with fairness, kindness, and respect for personal dignity and privacy
  • Listens and responds appropriately to others' needs, feelings, and capabilities
  • Excellence

    Pays attention to detail; follows through

  • Meets and / or exceeds customer expectations
  • Actively pursues learning and self-development
  • Pays attention to detail; follows through
  • Accountability

    Sets a positive, professional example for others; takes ownership of problems and does what is needed to solve them.

  • Sets a positive, professional example for others
  • Takes ownership of problems and does what is needed to solve them
  • Appropriately plans and utilizes required resources for various job duties
  • Reports to work regularly and on time
  • Teamwork

    Engaged and collaborative; keeps people informed.

  • Works cooperatively and collaboratively with others for the success of the team
  • Addresses and resolves conflict in a positive way
  • Seeks out the ideas of others to reach the best solutions
  • Acknowledges and celebrates the contribution of others
  • Ethical Behavior

    Acts with honesty and integrity; protects the patient.

  • Demonstrates honesty, integrity and good judgment
  • Respects the cultural, psychosocial, and spiritual needs of patients / families / coworkers
  • Results

    Sets goals and measures outcomes that support organizational goals. Seeks and accepts help to achieve goals.

  • Embraces change and improvement in the work environment
  • Continuously seeks to improve the quality of products / services
  • Displays flexibility in dealing with new situations or obstacles
  • Achieves results on time by focusing on priorities and manages time efficiently
  • Pay Range

    $19.34 - $29.00

    Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

    Equal Employment Opportunity

    GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

    #J-18808-Ljbffr

    Create a job alert for this search

    Billing Specialist • Cockeysville, MD, United States

    Related jobs
    • Promoted
    Physician Billing Manager - Coding

    Physician Billing Manager - Coding

    Greater Baltimore Medical Center (GBMC)Baltimore, MD, United States
    Full-time
    Under direct supervision, assumes responsibility for all aspects of staffing, organization and prioritization of work, auditing, production and quality tracking, and communication to the assigned t...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Client Billing & Collections Specialist

    Client Billing & Collections Specialist

    Element Fleet CorporationBaltimore, MD, United States
    Full-time
    Get started on an exciting career at Element!.Element employees make a difference in the lives of others every day.We are re-defining the fleet management industry to be people first, then business...Show moreLast updated: 8 hours ago
    • Promoted
    Hospital Billing Director

    Hospital Billing Director

    Illinois StaffingAnnapolis, MD, US
    Full-time
    Hospital Patient Financial Services (PFS) Director.Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build ...Show moreLast updated: 1 day ago
    • Promoted
    Client Billing & Collections Specialist

    Client Billing & Collections Specialist

    Element Fleet ManagementSparks Glencoe, MD, United States
    Full-time
    Get started on an exciting career at Element!.Element employees make a difference in the lives of others every day.We are re-defining the fleet management industry to be people first, then business...Show moreLast updated: 2 days ago
    • Promoted
    Billing - Dialysis Billing Coordinator

    Billing - Dialysis Billing Coordinator

    Progression IncSilver Spring, MD, US
    Full-time
    Dialysis Billing Coordinator Silver Spring, MD Pay From : $57,000 MUST : Experienced Dialysis Billing Coordinator 1-2 Years of Experience in dialysis billing in an outpatient or hospital setting Must...Show moreLast updated: 24 days ago
    • Promoted
    Billing & Collections Specialist

    Billing & Collections Specialist

    DatavantAnnapolis, MD, United States
    Full-time
    Datavant is a data platform company and the world's leader in health data exchange.Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format....Show moreLast updated: 1 day ago
    E-Billing Specialist

    E-Billing Specialist

    Fawkes IDMWashington, DC, US
    Full-time
    Quick Apply
    Assist the E-Billing Manager and E-Billing team with all electronic on-boarding needs to include, client matter setup and mapping, timekeeper entry and mapping, diversity submission as required, an...Show moreLast updated: 30+ days ago
    • Promoted
    Billing Supervisor

    Billing Supervisor

    TradeJobsWorkForce22215 Arlington, VA, US
    Full-time
    Billing Supervisor Job Duties : Accomplishes billing human resource objectives by selecting, ori...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Billing

    Medical Billing

    TradeJobsWorkforce22205 Arlington, VA, US
    Full-time
    REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...Show moreLast updated: 30+ days ago
    • Promoted
    Govcon billing specialist

    Govcon billing specialist

    RandstadWashington, DC, United States
    Permanent
    We are seeking a highly skilled and meticulous GovCon Biller to join our client's finance team in the Washington, D.This role is critical for ensuring the accuracy and compliance of all government ...Show moreLast updated: 2 days ago
    • Promoted
    Billing Specialist I

    Billing Specialist I

    Greater Baltimore Medical Center (GBMC)Hunt Valley, MD, United States
    Full-time
    Under direct supervision, performs all billing and collection functions on account balances within assigned financial classes. Ensures timely submission of all claims and timely follow up.Perform el...Show moreLast updated: 20 days ago
    • Promoted
    Billing Support Associate

    Billing Support Associate

    RxBenefitsBaltimore, MD, United States
    Full-time
    Primary Responsibilities Include : .Research and resolve routine billing questions and discrepancies.Process customer auto-draft payments and apply customer credits. Manage customer account maintenanc...Show moreLast updated: 13 days ago
    • Promoted
    Medical Billing - Earn Up to $37 / hr

    Medical Billing - Earn Up to $37 / hr

    TradeJobsWorkforce22244 Arlington, VA, US
    Full-time
    REQUIRED SKILLS • Type minimum of 50 words per minute • • Excellent letter writing skills • Proficiency in MS Excel • Detail-oriented, good follow-through • Proficiency in MS Word • Windows environmen...Show moreLast updated: 30+ days ago
    • Promoted
    Billing Lead

    Billing Lead

    bizjobz LLCBethesda, MD, US
    Full-time
    Quick Apply
    Our client, one of the nation’s largest and most respected orthopedic groups with more than 60 locations, is seeking a.This role is responsible for guiding a designated billing team, ensuring perfo...Show moreLast updated: 3 days ago
    • Promoted
    • New!
    Billing Specialist 1

    Billing Specialist 1

    Backpack HealthcareEllicott City, MD, United States
    Temporary
    Education Requirements : High School Diploma or GED Equivalent.Schedule : Full?Time 3?month contract, Temp to Perm employment opportunity. Backpack Healthcare walks around with an invisible backpack.I...Show moreLast updated: 8 hours ago
    • Promoted
    Billing Specialist

    Billing Specialist

    The Matworks Company, LLCColumbia, MD, United States
    Full-time
    BILLING SPECIALIST / ACCOUNT MANAGER : .The Account Manager has responsibility for all aspects of their assigned accounts. This role is responsible for understanding the work order management and invo...Show moreLast updated: 20 days ago
    • Promoted
    Rental Billing Coordinator II - Remote

    Rental Billing Coordinator II - Remote

    RyderAnnapolis, MD, United States
    Remote
    Full-time
    Job Seekers can review the Job Applicant Privacy Policy by clicking here ().The Billing Coordinator II is responsible for researching and billing exception agreement in his / her assigned districts.A...Show moreLast updated: 1 day ago
    Service Billing Coordinator

    Service Billing Coordinator

    Peak TechnologiesLinthicum Heights, Maryland, United States
    Full-time
    Quick Apply
    On-site in Linthicum, MD or Miami, FL.Will work in close partnership with our Field Service Team, Finance Team, Sales Administration, and Accounting Team to provide thorough oversight and administr...Show moreLast updated: 30+ days ago