Description

Do you love Baltimore? Do you want to do meaningful work for a company that serves your community? Do you want to be off evenings and holidays but still earn a fair and competitive wage? Look no further because BMS is your dream come true!

The Billing Specialist is responsible for the accurate and timely posting of all payments, adjustments, and denials reported to BMS in all formats. The Billing Specialist is responsible for the identification and facilitation of timely secondary insurance billing. Knowledge on how to read, process Explanation of Benefits and Remittance, and advise is required. Understanding the revenue cycle, ICD10, and CPT-4 guidelines is required to identify trends and errors on EOBs and RAs. The specialist is required to understand and have knowledge on all payer contractual payments and carve-out rates. This individual is responsible for reconciliation of payment and adjustment posting to remittance totals. Work requires occasional communication outside of the work group. The Billing Specialist will assist in the reconciliation of unbilled charges from HER to EPM. Proficient knowledge of ICD-10, CPT-4 and HCPCS coding guidelines is required. This position will scrub and review charges prior to uploading from the holding tank into EPM. Any missing or inaccurate charges identified are documented as a discrepancy for monthly reporting and provider correction. The specialist is responsible for monitoring and following-up on outstanding charges and applying time-of-service payments to charges to ensure accurate patient statements. This position will work with the Coding and Documentation Specialist to correct any CPT /DX issues prior to uploading charges in EPM. Frequent communication outside of the work group is required to resolve disagreements, reach agreements and clarify issues/processes.

Requirements

Required Education:

High School Diploma, GED, or equivalent experience

Required Experience:

Three years’ experience in payment posting

Three to five years charge entry

Summary

Baltimore Medical System (BMS) is a community-based, nonprofit organization that provides quality primary/outpatient care services to communities in the Greater Baltimore area. BMS is the largest FQHC in Maryland, and we offer a variety of comprehensive primary and behavioral health services through five (5) community health centers and eight (8) school-based health centers. We have a competitive salary based on experience and generous benefits (single and family) for employees working 30 or more hours per week that include medical, dental, vision, 403(b) retirement plan, paid time off, paid holidays, tuition assistance, and more!