Location:
220 Popps Ferry Rd. Biloxi, MS 39531.
Job Summary:
Monitors assigned encounters to ensure maximum collection of dollars by providing appropriate follow-up and documentation. Collaborates with other department staff in the organization, insurance companies, physician offices, and patients or guarantors. Complies with organization and department policies and procedures.
Required Qualifications:
Education: High School graduate or equivalent.
Licensure: N/A
Experience: One (1) year of experience in patient and medical insurance follow up in a healthcare setting. Certification in Billing or Coding may substitute for experience.
Skills, Knowledge, Abilities: Proficiency with computers and software applications. Knowledge of general office procedures. Knowledge of payor environments, such as managed care; insurance contractual agreements and appeals process. Excellent interpersonal and communication skills. Advanced abilities in basic mathematical skills.
Preferred Qualifications:
Education: Associates degree or completed courses in computer science, communication accounting, billing or coding.
Licensure: Certification in Medical Billing or Coding.
Experience: Experience in commercial; Medicare or Medicaid follow-up.
Skills, Knowledge, Abilities: Ability to work independently. Excellent verbal and writing skills. Knowledge of billing and government programs. Basic knowledge of the Fair Debt Collection Practices Act; f the False Claims Act as it pertains to the Patient Protection and Affordable Care Act, PPACA; general knowledge of ICD-9/10, CPT, and DRG codes; knowledge of the Red Flag Rule, created by the FTC under the Fair and Accurate Credit Transactions Act of 2003.
Memorial Health System is a not-for-profit healthcare system jointly owned by the City of Gulfport and Harrison County. Memorial is one of the most comprehensive healthcare systems in the state, licensed for 303 beds, including a state-designated Level II Trauma Center, two outpatient surgery centers, satellite outpatient diagnostic and rehabilitation centers and more than 95 Memorial Physician Clinics.
Memorial offers several of the region's most comprehensive clinical programs, such as emergency medicine; women and children services; orthopedic services; cardiovascular services; neurosciences and oncology. Additionally, Memorial provides medical specialties unique to the coast which include a Level III Neonatal ICU and Mississippi's first nationally certified Primary Stroke Center. Memorial offers 3D imaging and advanced surgical techniques, including the robotic assisted Specialty Surgery System. Memorial is accredited by The Joint Commission, the Commission on Cancer, the College of American Pathologists and the American College of Radiology.
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