Medical Billing Specialist
HybridFranklin, Tennessee, United States
Franklin, Tennessee, United StatesHybridFull TimeHigh School Or EquivalentLarge
Full TimeHigh School Or EquivalentLarge
Job Summary
Process and mail claims, track status, and monitor authorization and eligibility for payor benefits. Extract and verify billing information from medical records, ensuring accurate patient demographics before submission. Answer patient inquiries, establish alternative payment plans, and maintain account records while settling third-party payer issues. Balance daily charges, reconcile reports within the Practice Management System, and prepare patient statements. Collaborate with revenue cycle managers on denials and work with practice representatives to obtain proper insurance verifications.
Required Qualifications
- Comply with applicable legal requirements, standards, policies and procedures including but not limited those within the Corporate Compliance Program, Corporate Code of Conduct, HIPAA, and Federal False Claims Act
- Report concerns and suspected incidences of non-compliance immediately to the Chief Compliance Officer
- Communicate professionally with patients and guarantors regarding balances or account information
- Participate in required orientation and training programs
- Cooperate with monitoring and audit functions and investigations
- Participate in process improvement responsibilities
- Meet productivity goals
- Successful completion of required training
- Handle multiple priorities effectively
- Problem solving skills to manage a variety of concrete variables
- Effective verbal and written communication skills
- Ability to interpret instruction presented in variety of situations
- Strong organizational skills; ability to manage multiple projects simultaneously
- Proficiency with Microsoft Word, Excel, PowerPoint, and Internet Explorer
- Ten key speed and accuracy
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