Aging Report Billing Specialist - FT remote but MUST LIVE IN TN TO APPLY

Elite Sports Medicine + Orthopedics•Nashville, TN

6d•Remote

About The Position

The Insurance Collections Focused Specialist job is to focus on working aging reports (specifically from our Alpha insurance list) and maintain insurance correspondence, answer billing line, and other duties as needed to support the billing department and customer service. Please be aware that this position is REMOTE, but you must live in the state of TN. You can't live out of state and work this position remotely. Elite Sports Medicine + Orthopedics offers a competitive compensation package for full-time members including: Three Medical Plans Options (your choice of a PPO or HDHP), Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and 401(k) + employer match.

Requirements

High school diploma required
Comfortable using email and interacting various applications
3 to 5 years of collection experience, preferably BCBS
Knowledge of Billing and Collections procedures
Knowledge of CPT and ICD-10-CM coding
Knowledge of MS Office Suite
Ability to work standard office equipment (fax, copier, telephone, computer)
Knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement
Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process
Demonstrate proficient use of billing and scheduling applications within the software
Excellent written and verbal communication abilities
Strong attention to detail and goal-orientated
Neat, professional appearance

Nice To Haves

College education or trade school preferred
Experience working in a physician office or hospital billing-type position preferred
Proven record of discussing financial responsibilities and establishing payment plans when necessary
Orthopedic claims experience is preferred

Responsibilities

Work Insurance Aging with a focus of 61 days and older aged accounts
Properly communicate and document denials in the practice management system
Follow the guidelines set in the practice management system for follow up on claim statuses and follow up dates
Submit replacement claims, reconsiderations, and appeals for denied claims
Research and resolve outstanding claim issues
Identify any payments not being paid at the allowed/contract amount and communicate to your supervisor
Review payer specific communication and update necessary team members and departments
Identify trends in denials and communicate to your supervisor
Respond to written and telephone billing inquiries from patients related to insurance processing
Process requests for refunds and submit for approval
Contact insurance companies for outstanding balances and communicate as necessary for resolving outstanding and unpaid claims
Respond to written and telephone billing inquiries from patients
Resubmit insurance claims as needed and submit appeals/reconsideration documentation
Help answer the billing line phone and assist patients regarding their account information
Promote the company website and patient link resources by communication to the patients that they can pay their bill online
Other miscellaneous tasks delegated by manager