Billing Specialist
Tuomey Healthcare System - Sumter, SC

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Billing Specialist
Tuomey Medical Professionals
Sumter, SC

Nov-15-2013 - Department: Carolina Family Medicine - Full-time - High school diploma or equivalent is required - Experience is preferred - Interpersonal skills required - Organizational skills required - Verbal skills required Position Summary: Processes insurance claims. Posts insurance payments for specific payor types, follows up on rejected claims and overdue insurance balances using Explanation of Benefits forms and reports. Builds and maintains relationships with specified payors.
Qualifications: High school diploma/GED required; CPC and 1-3 years experience preferred. Basic computer skills required to include proficiency in using Microsoft Word. Clerical skills required to include knowledge of scheduling appointments and good typing skills. Must have working knowledge of the phone, paging system, email and internet. Must be familiar with CPT and ICD coding for family medicine. Must have understanding of EOB forms, claim forms and insurance billing process. Must have knowledge of managed care, commerical insurance, Medicare and Medicaid reimbursement and the ability to read and analyze accounts receivable and payor reports. Proven record of discussing financial responsibilities and establishing payment plans when necessary. Experience working in a physician practice or hospital collections-type position required. Must have high level of confidentiality.
OSHA Category: Rare exposure to risk of bloodborne diseases (Category II). Rare exposure to risk regarding chemical hazards (Category B).
Physical Requirements: Prolonged periods of standing, sitting, and walking and exert up to 10 lbs. force occasionally.

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