Sr Billing Specialist
Wellstar Health Systems

Job Info

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Overview

The Sr Billing Specialist is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association.

• Schedule:Full Time
• Shift: Day Shift
• Level: 6+ years of experience
  

Success Profile
Find out what it takes to succeed as a Sr Billing Specialist:

• Collaborative
• Time Efficient
• Organized
• Critical Thinker
• Attention to Detail
• Compassionate

Benefits that Reflect Your Contributions

• Your Pay
  A compensation program designed for fair and equitable pay.
  
• Your Future
  Secure your future with plans that also include an employer match. Plans and guidance for the future.
  
• Your Wellness
  Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!.
  
• Your Joy
  Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust.
  

Job Details

Facility: VIRTUAL-GA

Job Summary:

This role sits remote and is Monday - Friday 8am-5pm

Responsible for first time billing of either governmental or non-governmental claims to third party payors. Capable of reviewing and troubleshooting claims within the billing system to correct errors, edits, or nuances preventing a bill from going to the payer.

Core Responsibilities and Essential Functions:

EPIC Workqueues-Maintains billing workqueues assigned by alpha or groupings which generates claim edits requiring billing intervention to create clean claims. Payor Rejections-Maintains and corrects claims returned to the biller workqueue in EPIC that have been rejected by the payor. Denials-Maintains and corrects claims returned to the biller workqueue in EPIC that have been denied by the payor. Training-Able to train billing specialist to work billing edits, claim errors, and denials within the billing system Communication-Able to effectively communicate with ancillary departments to resolve claim issues to expedite bills to payers.

Required Minimum Education:

High school diploma Required or
GED equivalent Required

Required Minimum Experience:

Minimum 2 years experience in insurance billing in hospital environment; Microsoft Word and Excel experience Required

Required Minimum Skills:

Experience in Excel and Word.
Demonstrates a general knowledge of medical terminology, ICD9-CM, ICD10-CM, and CPT procedure codes relative to hospital practices.
Competent written and oral communication skills, time management organization, and an attention to detail. Displays strong knowledge of analytical and problem solving skills. Is able to train Billers on billing edits, claim errors and denials.

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Mission, Vision & Values
At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.

Our Mission
To enhance the health and well-being of every person we serve.

Our Vision
Deliver worldclass health care to every person, every time.

Our Values

• 
  We serve with compassion
  
  
• 
  We pursue excellence
  
  
• 
  We honor every voice
  
  

This job has expired.