Medical Billing Specialist

TruHealth • Franklin, TN

1d

About The Position

The Medical Billing Specialist for Nurse Practitioners is responsible for
processing and mailing/transmitting claims, tracking claims, monitoring
authorization and eligibility of payor benefits, managing the collections
process and posting cash receipts.

Requirements

• 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

Responsibilities

• Extract and verify billing information from medical records
• Ensuring collection of past due balances; follow up as needed
• Ensure all patient demographic and insurance is accurate prior to submitting claims to insurance companies
• Answer patient account inquiries; assists establish alternative payment plans when necessary
• Maintain patient account records; settle third party payer issues as required
• Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS)
• Prepare and review patient statements prior to release through PMS
• Ensure timely filing of all Medicare, Medicaid, and third-party insurance claims
• Balance daily charges; reconcile with reports within PMS
• Collaborate with revenue cycle manager and payers on denials/rejections
• Work closely with practice representatives to ensure proper insurance verifications and authorizations are obtained
• Other duties as assigned
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees