- Maintain A/R aging balances within revenue cycle department standards for assigned 8-10 physicians.
- Effectively and efficiently work a minimum of 60 claims per day.
- Draft and send claim appeal letters with a high success rate.
- Answer patient and/or staff questions regarding billing issues.
- Identify suboptimal patterns in physician and/or staff revenue cycle behaviors.
- Collaborate with physicians on clinical documentation, code selection, and other relevant issues.
- Collaborate with clinic staff regarding charge posting, referrals, authorizations, and insurance verification.
- Oversee accurate reconciliation of time-of-service collections and execution of the processes that are compliant with the revenue cycle department's standards.
- Review and send patient accounts to outside collections partner.
- Review and validate patient refund requests.
- Assist with insurance authorizations and verification of benefits.
- Minimum of 1-2 years of medical billing, coding, and collections experience is preferred.
- Open to training motivated, entry level or new graduates of medical billing programs.
- Podiatry or Ortho experience is a plus.
- Current knowledge of coding, billing and reimbursement for commercial insurance, Medicaid, and Medicare.
- Thorough understanding of EOBs, patient billing summaries, and other similar documents.
- Ability to read clinical documents to confirm accurate coding.
- Effective communication skills, both written and verbal.
- Previous electronic medical records (EMR) system experience, preferably athenahealth.
- Proficient in Excel.
- Desire and ability to comply to department's best practices and hit daily, weekly, and monthly targets.
- Strong time management and critical thinking skills.
-
billing specialist
4 weeks ago
BrightSpring Health Services Nashville, United States Full timeOverview · Are you a numbers aficionado, skillful in maximizing costs and minimizing expenses? Finance and Accounting focuses on the organization's financial management strategies and execution. If this piques your interest, read more below and · ...
-
Billing Specialist
1 week ago
Catapult Staffing Nashville, United StatesLegal Billing Specialist Location - Nashville, TN (Hybrid - 3 Days On-Site, 2 Days Remote) *Relo allocated if out of state* · Terms - Full-Time, Perm · About Our Client · Our client is a prestigious and well-established law firm dedicated to providing exceptional legal services ...
-
Billing Specialist
2 days ago
Diversity Health Nashville, United StatesJob Description · Job DescriptionAt Diversity Health, we are passionate about changing the face of healthcare in Nashville by supporting healthcare clinics such as Music City PrEP Clinic and Chosen Family Medicine. These clinics provide access to biomedical interventions and serv ...
-
Billing Specialist
3 weeks ago
Ervin Cable Construction LLC Nashville, United StatesOverview and Essential Functions · A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such ...
-
Billing Specialist
3 weeks ago
Ervin Cable Nashville, United StatesOverview: · A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such as; compile data, compu ...
-
Billing Specialist
3 weeks ago
Dycom Industries Inc Nashville, United StatesOverview and Essential Functions A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such as; ...
-
Billing Specialist
1 week ago
Dycom Industries Inc Nashville, United StatesOverview and Essential Functions A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such as; ...
-
Electronic Billing Specialist
2 days ago
UniFirst Nashville, United States Full timeThe AR EDI Specialist will prepare and ensure submission of billing and AR deliverables for accounts utilizing EDI systems while managing to the required EDI related policies, procedures and systems. The person in this role works directly with the Nashville based AR EDI Superviso ...
-
Medical Billing Specialist
4 weeks ago
Upperline Health Nashville, United StatesJob Description · Job Description · ABOUT US · A Specialty Path to Good Health · Upperline Health is the nation's largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers ...
-
Electronic Billing Specialist
16 hours ago
UniFirst Corporation Nashville, United StatesThe AR EDI Specialist will prepare and ensure submission of billing and AR deliverables for accounts utilizing EDI systems while managing to the required EDI related policies, procedures and systems. The person in this role works directly with the Nashville based AR EDI Superviso ...
-
Billing Specialist
3 weeks ago
Lewis Brisbois Bisgaard & Smith Nashville, United StatesLewis Brisbois is seeking a Billing Specialist with legal experience. The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully a ...
-
Billing Specialist
1 week ago
Catapult Solutions Group Nashville, United StatesLegal Billing Specialist · Location - Nashville, TN (Hybrid - 3 Days On-Site, 2 Days Remote) *Relo allocated if out of state* · Terms - Full-Time, Perm · About Our Client · Our client is a prestigious and well-established law firm dedicated to providing exceptional legal services ...
-
Billing & Eligibility Specialist
2 weeks ago
Lucent Health Solutions LLC Nashville, United StatesJob Description · Job DescriptionJob Title: Eligibility and Billing Specialist · Location: Rancho Cordova, CA (Hybrid) · ELIGIBILITY SPECIALIST · Job Summary: The Eligibility Specialist is a key part of the department's successful operation. The specialist is in daily contact w ...
-
In-Office Fuel Billing Specialist
2 weeks ago
Tri Star Energy Nashville, United StatesSummary · : · is currently seeking an experienced, dedicated, and qualifiedFuel Billing Specialist to join ourFuel Billing team in our Store Support Center in . The Fuel Billing Specialist is responsible for entering fuel movements into the system on a daily basis and keying dai ...
-
Billing Specialist
1 week ago
Catapult Solutions Group Nashville, United StatesJob Description · Job DescriptionLegal Billing Specialist · Location - Nashville, TN (Hybrid - 3 Days On-Site, 2 Days Remote) *Relo allocated if out of state* · Terms - Full-Time, Perm · About Our Client · Our client is a prestigious and well-established law firm dedicated to pr ...
-
Billing Specialist
1 week ago
Ervin Cable Nashville, United StatesOverview: · A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such as; compile data, compu ...
-
Billing Specialist
1 week ago
Ervin Cable Nashville, United StatesOverview and Essential Functions · A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such ...
-
Billing Specialist
1 week ago
Ervin Cable Nashville, United StatesOverview and Essential Functions · A successful Billing Specialist shall process daily, weekly, and summary production reports from employees and contractors for input into the accounting/payroll systems; provide administrative support by performing general billing duties, such ...
-
Billing Specialist
1 week ago
ResCare Nashville, United StatesOur Company · BrightSpring Health Services · Overview · Are you a numbers aficionado, skillful in maximizing costs and minimizing expenses? Finance and Accounting focuses on the organization's financial management strategies and execution. If this piques your interest, read more ...
-
Billing Specialist
2 weeks ago
ResCare Nashville, United StatesOur Company · BrightSpring Health Services · Overview · Are you a numbers aficionado, skillful in maximizing costs and minimizing expenses? Finance and Accounting focuses on the organization's financial management strategies and execution. If this piques your interest, read more ...
Medical Billing Specialist - West Nashville, United States - Upperline Health
Description
ABOUT US
A Specialty Path to Good Health
Upperline Health is the nation's largest provider dedicated to lower extremity, wound and vascular care.
Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.
Triage is temporary.Treatment is transformative.
Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs.
This is a remote position with preference for candidates in EST or CST.
The position is available to candidates who currently reside in the following states:
AL, CA, FL, GA, IL, IN, KY, MI, NC, NV, PA, TN, TX.
About the Medical Billing Specialist
Upperline Health is looking for a Medical Billing Specialist to work within our revenue cycle function to be responsible for medical A/R and claims management for 8 to 10 of our physicians.
The Medical Biller will have a diverse set of revenue cycle responsibilities including appealing claim denials, working claim holds, monitoring staff claim submission, overseeing the reconciliation of time-of-service collections, and maintaining acceptable A/R aging.
Upperline's medical billers must have effective communication skills as they are in a collaborative position working with revenue cycle managers, clinic staff members, patients, insurance representatives, and physicians.
This individual needs to be a self-motivated, problem-solver, and able to multi-task effectively in a fast-paced environment. As Upperline continues to rapidly grow, this position presents a range of future career growth opportunities.What You'll Do
Qualifications of the Medical Billing Specialist:
BENEFITS
Comprehensive benefit options include medical, dental and vision, 401(k), and PTO.
COMPENSATION
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.
Job Type:
Full-Time