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Billing Specialist

Company: SALISBURY MANAGEMENT, INC.
Location: Baltimore
Posted on: February 17, 2020

Job Description:

At Salisbury Management LLC. Our job is to allow the companies we serve do what they do best which is provide quality care to their patients, consumers and students. SMI is a recognized leader in offering professional, operational, and management services. Our goal is to provide a complete array of professional and administrative services to companies that need to minimize the complexity of day to day administrative operations, so they can get to the business they do best caring for the individuals the serve.

Salisbury management is searching for a qualified Billing Specialist to join our Revenue Cycle Management Operations department based in our Baltimore office.

Responsibilities and Duties:

  • Understanding of all aspects of Revenue Cycle Management operations processing and can step in at any point in the cycle when needed.
  • Conduct trends analysis, provide possible solutions and take initiatives to resolve benefits, reimbursement and billing discrepancies.
  • Identify any issues or problems with payers and the possible challenges presenting clean claims based upon submission requirements.
  • Look for areas of potential process improvement within team and programs that are being supported.
  • Understand when to escalate issues to higher level of management.
  • Coordinate intake including referrals, eligibility, benefits and authorizations.
  • Prepare and submit clean claims in accordance with timely filing guidelines.
  • Follow up on outstanding balances to ensure timely and accurate reimbursement.
  • Process and review all denials to expedite claims payment and appeals processing.
  • Reconcile denials and responsible for tracking and resolving balances
  • Research and resolve credit balances, refunds and payer retractions.

    Requirements

    • High School Diploma or equivalency
    • 3 years' experience with claims clearinghouse 837, 237, 834 and other applicable file submissions preferred.
    • Experience with spreadsheets and word processing. (Word, Excel, Outlook)

      Benefits

      Eligible Salisbury Management Employees will receive:
      • Competitive pay, and benefits (Medical, Dental, Vision)
      • Employee Discount Program
      • Rewards program which allows you to earn points to purchase items
      • 401k options option
        Salisbury Management LLC is an equal opportunity Employer. For more information about Salisbury Management, careers and services visit: www.salisburymgt.com

Keywords: SALISBURY MANAGEMENT, INC., Baltimore , Billing Specialist, Accounting, Auditing , Baltimore, Maryland

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