Billing Specialist II

Under general supervision, responsible for maintaining, improving, processing and evaluating the billing of accounts receivable, and resolving complex payer claim issues for the University of Maryland Medical Systems Central Business Office (CBO).

Key Responsibilities:

• Completion of assigned account and claim edit work queues in the patient accounting system, within a designated timeframe.
• Responsible for editing and billing claims from ePremis within assigned alpha split in a designated timeframe.
• Assignment of an appropriate hold code to claims in ePremis that require additional research or referral to another department for resolution.
• Responsible for assisting accounts to the appropriate department that fail edits in EPIC or ePremis.
• Responsible for reporting claim or system issues with patient accounts system to management.

Qualifications:

• High School diploma or equivalent (GED)
• Three years’ experience with institutional or professional billing and/or collections.
• Processing of regulated or unregulated claims.

Preferred:

• Medical billing and coding certification