Billing Specialist

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 of how to read, and process Explanation of Benefits and Remittance, and advice is required. Understanding the revenue cycle, ICD10, and CPT-4 guidelines is required to identify trends and errors in EOBs and RAs. The specialist is required to understand and have knowledge of all payer contractual payments and carve-out rates. This individual is responsible for the 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 before 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 before uploading charges in EPM. Frequent communication outside of the work group is required to resolve disagreements, reach agreements, and clarify issues/processes. Required Education: High School Diploma, GED, or equivalent experience Required Experience: Three years’ experience in payment posting Three to five years charge entry Baltimore Medical System (BMS) is an innovative, Federally Qualified Health Center dedicated to improving the health and wellness of medically underserved communities in the Greater Baltimore area. The largest FQHC in Maryland, our mission is to improve the health in the communities we serve by providing safe, high quality, accessible and affordable health care. We offer a variety of comprehensive services including adult medicine, family medicine, pediatrics, OB/GYN, behavioral health, and health education through 6 community health centers and 8 school based health centers. The system has approximately 40 primary care providers and nearly 60 total providers serving over 45,000 active patients. To learn more about BMS, please visit our website at www.bmsi.org. Benefits Include: Medical, Dental, Vision, 401k, 22 Vacation days, 8 paid holidays, tuition assistance and more!