Medical Billing Representative

U.S. Renal Care • Nashville, TN

11h • Hybrid

About The Position

We are seeking a highly organized and detail-oriented candidate with medical
billing experience to join our Billing Team. This is a hybrid role based in
Nashville, TN (2 days in office/3 at home)

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be
assigned.
Enter charges for dialysis services and any related service performed in a
timely and accurate manner.
Record hemodialysis, peritoneal dialysis and any other related charges to
patient accounts submitted by the dialysis centers after reviewing for all
necessary and correct information.
Contact unit secretaries, social workers and/or clinical personnel at the
centers to obtain missing and incorrect information.
Maintain a professional work relationship with all the center staff.
Balance and verify accuracy of data entered prior to the end of the month end
process. This would include updating of Dialysis spreadsheet, verifying
Hematocrit and URR's, height and weights, admin fees etc.
Posting charges and filing insurance, printing and mailing of claims in a
timely manner. Filing secondaries with all necessary documentation.
Rebilling of claims when appropriate.
Performs other duties and responsibilities as required or assigned.

EDUCATION and/or EXPERIENCE:

High School diploma or GED required. No less than two years of experience in
health/medical billing.

OTHER SKILLS and ABILITIES:

Ability to use copier, fax machine, printer, calculator and multi-line
telephone.

Must be proficient with computers with an understanding of medical billing
software.

Advanced knowledge of medical terminology as well as knowledge of government and
private insurer rules and regulations.

Advanced knowledge of CPT, ICD-9 and HCPCS coding, as well as in-depth knowledge
of medical billing requirements.

Working knowledge of Microsoft Outlook, Word and Excel.

Ability to utilize the internet, specifically Medicare and Medicaid websites.

Must be able to maintain confidentiality in regards to HIPAA rules and
regulations, as well as private company matters.

SUCCESSFUL COMPETENCY FACTORS:

Use of the following skills: problem solving, analytical ability, decision
making, oral and written communication skills. Interpersonal skills necessary to
successfully work with insurance carriers, government and private agencies.

WORKING RELATIONSHIPS:

Daily contact with carriers by email and by telephone.

Qualifications

EDUCATION and/or EXPERIENCE:

High School diploma or GED required. No less than two years of experience in
health/medical billing.

OTHER SKILLS and ABILITIES:

Ability to use copier, fax machine, printer, calculator and multi-line
telephone.

Must be proficient with computers with an understanding of medical billing
software.

Advanced knowledge of medical terminology as well as knowledge of government and
private insurer rules and regulations.

Advanced knowledge of CPT, ICD-9 and HCPCS coding, as well as in-depth knowledge
of medical billing requirements.

Working knowledge of Microsoft Outlook, Word and Excel.

Ability to utilize the internet, specifically Medicare and Medicaid websites.

Must be able to maintain confidentiality in regards to HIPAA rules and
regulations, as well as private company matters.

SUCCESSFUL COMPETENCY FACTORS:

Use of the following skills: problem solving, analytical ability, decision
making, oral and written communication skills. Interpersonal skills necessary to
successfully work with insurance carriers, government and private agencies.

WORKING RELATIONSHIPS:

Daily contact with carriers by email and by telephone.

Requirements

• High School diploma or GED required.
• No less than two years of experience in health/medical billing.
• Ability to use copier, fax machine, printer, calculator and multi-line telephone.
• Must be proficient with computers with an understanding of medical billing software.
• Advanced knowledge of medical terminology as well as knowledge of government and private insurer rules and regulations.
• Advanced knowledge of CPT, ICD-9 and HCPCS coding, as well as in-depth knowledge of medical billing requirements.
• Working knowledge of Microsoft Outlook, Word and Excel.
• Ability to utilize the internet, specifically Medicare and Medicaid websites.
• Must be able to maintain confidentiality in regards to HIPAA rules and regulations, as well as private company matters.
• Use of the following skills: problem solving, analytical ability, decision making, oral and written communication skills.
• Interpersonal skills necessary to successfully work with insurance carriers, government and private agencies.

Responsibilities

• Enter charges for dialysis services and any related service performed in a timely and accurate manner.
• Record hemodialysis, peritoneal dialysis and any other related charges to patient accounts submitted by the dialysis centers after reviewing for all necessary and correct information.
• Contact unit secretaries, social workers and/or clinical personnel at the centers to obtain missing and incorrect information.
• Maintain a professional work relationship with all the center staff.
• Balance and verify accuracy of data entered prior to the end of the month end process. This would include updating of Dialysis spreadsheet, verifying Hematocrit and URR's, height and weights, admin fees etc.
• Posting charges and filing insurance, printing and mailing of claims in a timely manner. Filing secondaries with all necessary documentation.
• Rebilling of claims when appropriate.
• Performs other duties and responsibilities as required or assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED