Denials) - REMOTE

Vanderbilt University Medical Center•Nashville, TN

1d•Remote

About The Position

Coordinates the billing and follow-up process between the organization, payers and patients with minimal guidance. Recognizes, researches, reconciles, and reports appropriate corrective action plans on trends related to patient account inquiries and payer denials. This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.

Requirements

Revenue Cycle (Novice): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
Coding Knowledge (Novice): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS-DRG and APR-DRG prospective payment and severity systems.
Data Entry (Intermediate): The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.
Relevant Work Experience
4 years
High School Diploma or GED

Nice To Haves

Performs non-routine tasks that significantly impact team's performance with minimal guidance.
Conducts research and analysis to solve some non-routine problems.
Applies broad job knowledge and has basic job skills in other areas.
Provides informal guidance and support to less experienced team members.
Continuously improves own skills by identifying development opportunities.
Seeks to understand colleagues' priorities, working styles and develops relationships across areas.
Openly shares information with others and communicates in a clear and courteous manner.
Invests time to understand the problems, needs of others and how to provide excellent service.
Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner.
Listens carefully to understand the issues and provides accurate information and support.
Checks work quality before delivery and asks relevant questions to meet quality standards.
Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.
Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.
Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service.
Displays understanding of how personal actions will impact departmental resources.
Uses accurate information and good decision making to consistently achieve results on time and without error.
Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.
Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action.
Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.

Responsibilities

Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances.
Accesses and corrects, if needed, demographic, insurance and financial information.
Provides accurate account maintenance and documentation.
Serves as a liaison with insurance companies, third party payors, and administrative personnel.
Analyzes incoming financial data to identify, reconcile, and resolve patterns resulting in erroneous or no reimbursement.
The responsibilities listed are a general overview of the position and additional duties may be assigned.