Billing Specialist III

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application. You can only apply one time to a job requisition. Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile. Thank you, 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: R 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):