Focused on the Future of Care
We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.
Position Type
On-site
Job Description Summary
Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
Job Description
Education: Education equivalent to graduation from high school or GED is required. Experience: Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them. Other Knowledge/Skills/Abilities: - Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB04 is required. - Demonstrates a comprehensive knowledge of the electronic billing system and key contract billing guidelines and possess the ability to train others on the entire billing process. - Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred. - Ability to work within the guidelines of defined managed care contract policy provisions and company procedures. - Demonstrates ability to work successfully with internal customers and external contacts is required. - Possesses a highly-developed detail orientation, critical thinking, and problem solving ability. - Demonstrates excellent oral and written communication, keyboarding, and basic math skills. - Demonstrates ability to work unsupervised as well as the ability to work in a group setting.
Pay Transparency
$18.34 - $28.42
Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role. Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at
If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact askHR@mhsil.com . Requests will be handled confidentially.
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