Tier 1 Business Services Specialist II
CAMPBELL CLINIC PC•Cookeville, TN
About The Position
Responsible for all aspects of assigned patient accounts after charge entry to final resolution.
Requirements
- High School Graduate or General Education Degree (GED)
- Previous healthcare billing experience is required
- Must be computer literate
- Basic computer skills required
- Must be able to type
Responsibilities
- Verifies and updates insurance information and demographics
- Rebills charges when insurance corrections are made
- Keeps up with changes in billing and pre-cert guidelines (including LCD's)
- Reviews insurance eligibility
- Determines and reviews financial responsibilities and insurance coverage with patients
- Resolves patient balance related questions
- Reviews surgery costs and establishes payment plans for patient portion
- Reports denial trends to coders and managers
- Completes charge entry
- Processes patient and payor refunds
- Reviews insurance eligibility and rejections/errors
- Follows-up on aging buckets
- Identifies accounts for referral to outside collection agency
- Edits claim holds
- Keeps up with changes in payor processes and reports them to coordinator for appropriate action
- Obtains all precertification
- Responds to correspondence from payors and patients
- Regular and predictable attendance
- Ability to work in a cooperative manner with others
- Performs other duties as assigned
Benefits
- Medical / Dental / Vision Insurance
- HRA Option
- Flexible Spending Account
- Basic Life Insurance
- Voluntary Life Insurance Option
- Long-Term Disability
- Voluntary Short-Term Disability
- Accident Insurance
- Critical Illness Insurance
- 401(k) Plan Matching + Profit Sharing
- Employee Assistance Program
- Paid Time Off
- 8 Paid Holidays
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
