Billing Specialist - Professional Billing

Job Description

Job Description

Billing Specialist

Professional Billing

Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.

When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission – dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community.

Position Summary

Arranges the efficient and orderly resolution of all patient accounts. Ensures accurate and complete payment by insurance companies and patients, as well as accurate account adjustments pursuant to the Health Systems policy while maintaining a consistent professional conduct.

Responsibilities

• Bill patient accounts, timely and accurate.
• Enter accurate billing information and prepare accurate paper or electronic claims.
• Correct claims and determine billing status.
• Perform timely follow-up of patient accounts.
• Prepare accurate reports of billing activity.
• Contact insurance carriers to expedite accurate payment of claims.
• Review remittances to ensure proper & accurate payments.
• Balance cash / checks
• Review and resolve credit balance accounts
• Complete applications for applicable Health Systems charity care programs.
• Perform other duties as requested.

Requirements

• Read, write, and follow verbal or written directions.
• Analytical ability to detect and resolve problems.
• Interpersonal / Communication skills in difficult situations.
• Nine months experience in healthcare billing collections field.
• Ability to operate various office machines including a Personal Computer, fax, copier, etc.
• LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.

Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.